Questionnaire About Your Eating Habits

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1. Do you take any cures in order to treat in mantel disorders?

Never
I took During a period of several mounts
I take Already several mounts
I take in regularly

2. Which of the next options is the group food that you are eating each morning

Bun from White bread
Any kind of Whole bread
Sweet cereal
Cereal of whole wheat

3. What is your the favorite choice from the following foods below

Any kind of rice (also whole) with meat or chicken
Only Foods whose contain a whole carbohydrate (pasta rice or else )
Mostly sandwiches of white bread with sorts of meat or cheese
Pizza or at street restaurant,) hamburger

4. How many meals do you eat during an entire day

Two
Three
Four or more

5. Whether you are coming home after an activity of sport and you see on the table
a cold battle of coca cola, and in the other side fresh water.
What is going to be your choice ?

The Water
The Coca cola

6. Did you ever try to do any sort of diet?

Yes
No
Just because a pressure of one the parents

7. If you had tried kind of diet ,what were the results ?

You lost weight
You felt better
I didn’t try because I wasn’t need a diet

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