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Book Here
Contact
Contact
Facebook
Instagram
Twitter
Email me
Newsletter
My recipes
Blog
Blog
Restricted content
Gallery
Extras
Health Questionnaire – Private Clients Only!
Finding Your Joy Workshops 2025
Nourish Your Body Through Change – Power of Yoga Studio Workshop
Event Feedback Forms
Testimonials
Health Questionnaires
The Body Fuel Mastery Coaching Programme
The Body Fuel Mastery Coaching Programme – Progress Check In
Brusnmeer Football Team – For Parents Only!
Brunsmeer Football Team – For Team Players Only!
For Guides and Scouts
SSCH Wellbeing Questionnaire
Allergens
FAQ
Team Building & Wellbeing
Culinary Medicine & Nutrition Coaching
Peri-menopause & Menopause coaching
Health Questionnaires
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Health Questionnaires
Eating habits questionnaire
I would love to find out more about your family's eating habits and areas that you might struggle with. This would help me put content together that can truly serve my community. Your answers are recorded anonymously. If you want to follow up on the questionnaires and discuss this further, please leave your email address at the end of the form or email me at twiddlefood@gmail.com ! Your feedback on the questions is also much appreciated, if you have anything to add, please do let me know. Thanks, Viki
Please enable JavaScript in your browser to complete this form.
About your household
*
Couple with child(ren)
Single parent with child(ren)
Extended family with child(ren)
Couple
Single person
Other
How often do you cook meals at home in a week?
*
1-2 times
3-4 times
5-6 times
7 times or more
How often do you involve your children in meal planning and preparation?
*
Rarely or never
Occasionally (1-2 times a month)
Regularly (weekly)
Most days
N/A - haven't got children
What are the top 3 factors that influence your food choices? (i.e. taste, budget, time, allergies)
*
What topics interest you most relating to health and healthy eating?
*
Does anyone in your household suffer from a health condition?
*
What is your biggest current health challenge?
*
Which aspect of your eating habits would you like the most assistance with? (Tick all that applies.)
*
Meal planning and preparation
Understanding nutritional labels
Overcoming emotional eating
Encouraging family members to adopt healthier habits
Cooking for a family with health conditions
Other
Do you enjoy cooking?
*
Yes, I love cooking.
Yes, but I could do with learning new dishes.
I don't enjoy cooking, it is not my thing.
I don't enjoy cooking as I cannot cook but would love to learn.
What dishes would you love to learn to cook?
*
Do you feel guilty about some of your food choices?
Selected Value:
0
1 - not at all 10 - every day
Anything else you would like support with that was not covered in the options above?
Provide your email address if you would like to discuss this further.
Submit
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