Food Frequency Questionnaire Form

A food frequency questionnaire form is a document, comprising of a series of questions, which are designed in order to find out the type of food consumed by the people mostly. It gives a clear picture of people’s eating habits and is usually used by dieticians, doctors, and other health practitioners to find out the frequency of any particular food that is being consumed by an individual.

Sample Food Frequency Questionnaire:

Name of the person: ___________________

Date of interview: ____________________

Please fill the gaps and mark the following, wherever applicable:

1. How often do you eat red meat? (answer in terms of days, weeks and months)

____________________________________________________________________

2. What vegetables do you usually consume daily?

__________________________________________________________________________________________________________________________________________

3. Your lunch and dinner usually comprises of _______________________________

3. How frequently do you consume milk or milk product? (answer in terms of days)

_____________________________________________________________________

4. What is your principal source of protein?

_____________________________________________________________________

5. At what time do you have your lunch and dinner?

Lunch Time____________________________

Dinner Time ____________________________

6. How much oil you consume per month?

______________________________________________________________

7. What fruits do you prefer consuming?

___________________________________________________________________

8. What beverages do you consume daily?

____________________________________________________________________

9. How frequently do you consume fast foods?

_____________________________________________________________________

10. Does your meal comprise of more cereals or grains?

_____________________________________________________________________

_______________________

(Signature of Dietician)

Download Food Frequency Questionnaire

Category: Questionnaire Forms