Food Frequency Form
A Food frequency form is aimed to analyze the eating habits of an individual. Usually dietitians and nutritionist use these forms to make assessment of good/bad eating habits and irregularities in eating and nutrition. The questions in these questionnaires are focused on each aspect of food, types of food, frequency and selection.
Sample Food Frequency Form
Personal Information
Name_____________
Age_______ Sex________
Address___________________________
Phone Number_______________ Email-ID__________
Food Frequency Information
How many meals do you take in a day ___________________________?
How many times in a week do you dine out _______________________?
Do you eat small frequent meals or big few meals__________________?
Eating Choices
Butter/Margarine/Cheese__________
Chicken/Turkey/Meat/With _____________
How do you like to eat your Salad Dressing/Bakery Products/Pasta ____________________?
How do you prepare your Potatoes/Rice________________________?
How do you like to eat vegetables and how frequently do you include hem in your meals_________________________________________________________________
Choice/Preparation of Milk________________
Commitment Rating
Eating fast food in a week___________
Limiting Cheese/salad Dressings/Bakery Products_________
Limitation on Fried food/High-fat food____________________________
Limitation on Spreads/Bread rolls/Ice-cream_______________________
Limitation on Red meat/Chicken/Sausages__________________
Category: Questionnaire Forms
