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. 2021 Sep 17;20(3):169–177. doi: 10.4103/aam.aam_25_20

This questionnaire (Adapted from British Heart Foundation) is designed to assess the nutritional value of your feeding behavior. Please tick (√) to answers that are most suitable to you

Food Never Rarely Sometimes Often Always
Eating habits
 1. How often do you skip breakfast more than once a week?
 2. How often do you skip lunch more than once a week?
 3. How often do you skip evening meals more than once a week?
 4. How often do you take snack instead of meals?
 Fruits and vegetables
 5. How often do you eat >5 portions of fruit and/or vegetables? Remember that fruit juice only counts as 1 portion a day, regardless of how much you drink. The same applies to dried fruit. Potatoes count as starchy foods and not as vegetables. As a guide, a portion is about a handful
 6. How often do you eat >4 different varieties of fruit each week?
 7. How often do you eat >4 different varieties of vegetables each week?
Fats
 8. How often do you choose low-fat products when available?
 9. How often do you eat fried foods (such as stew, crisps and snacks, or fish and chips)?
 10. How often do you opt for lean cuts of meat or remove visible fat - for example, removing the skin on chicken or the rind on (bacon) pork?
 11. How often do you eat oily fish? Examples of oily fish include salmon, mackerel, herring, sardines, scumbia, and fresh tuna
 12. How often do you include unsalted nuts and seeds (e.g., groundnut) in your diet?
 Starchy foods
 13. How often do you base your main meals around starchy foods? For example, yam, foo-foo, potatoes, pasta, rice or bread
 14. How often do you choose wheat bread or rolls rather than white bread?
 15. How often do you regularly eat wholegrain cereals (e.g. quacker oat), with no added sugar?
 16. How often do you include pulses in your diet? For example, beans, okpa, fio-fio and lentils
Sugar
 17. How often do you eat sugar-coated breakfast cereals or add sugar to your breakfast cereals (e.g. Golden morn)?
 18. How often do you add sugar to your drinks?
 19. How often do you drink sweet fizzy (soft) drinks?
 20. How often do you eat cakes, sweets, chocolate, or biscuits at work?
Salt
 21. How often do you add salt to food during cooking?
 22. How often do you add salt to meals at the table?
 23. How often do you eat savory snacks at work? For example, crisps, or salted nuts
 24. How often do you eat preprepared meals? For example, preprepared sandwiches, ready meals, or canned soups
 25. How often do you eat processed meats such as ham or bacon, sugar, or smoked fish?
Fluids
 26. How often do you drink up to 3 L(5-6 satchets) of water daily?
 27. How often do you take sugary fizzy (soft) drinks?
 28. How often do you drink >2-3 units of alcohol a day if you’re a woman or more than 3-4 (1 bottle of beer) units of alcohol a day if you’re a man?