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Food habit survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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Food Habits Survey

 Personal Information

1

Name

2

Gender

Select one answer
3

Contact no.

Use digits only
4

Age

Select one answer
5

Religion

Select one answer
6

City

Select one answer
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 Cultural Beliefs and Practices

7

Do you think your cultural or religional beliefs influence your food & if yes, how much?

Select one answer
8

What cuisine do you consume on daily basis

Select one or more answers
9

Are there any specific dietary restrictions or fasting practices, you follow due to your religious beliefs beliefs

Select one answer
10

If yes, can you mention them…

11

During cultural festivals, or celebrations, are there any specific special dishes that are Cooked and consumed in your family?

Select one or more answers
12

According to your answers in previous questions, please mention the dishes cooked or consumed…

13

Are there any other festival / occasions specific to your cultural or religion, please specify the special foods cooked & consumed during the occasion…

14

Are there any specific days of month or week that have change in menu of them due your cultural beliefs or religion

Eg; No eggs on Sunday
15

Are there any traditional foods that have been passed down to you?

Eg; Recipe of Methi Ladoos and certain types of achaars.
16

Are there any traditional foods that are not cooked/consumed anymore? please mention

17

What foods are considered special and are made on significant occasions or events?

Special ladoos on chhat
18

Do you believe in using certain foods or remedies for healing or maintaining health? Do you use them often?

Select one answer
19

If you answered Yes, in the previous question, please mention with certain foods are used as a remedies in your culture/religion if possible please mention reasons …

Honey with turmeric to relieve coughing
20

Are there any food that are restricted or avoided during illness or healing process?

Avoiding curd ,tamarind while healing from open cuts or bleeding
21

What are the specific foods that are specially consumed during certain seasons or time of the year due to their benefits, according to cultural beliefs

22

What are the specific foods you avoid eating or restrict during certain seasons or time of the year due to cultural beliefs ?

23

Does your culture restrict any age group or gender from eating certain food items?

24

Do culture promote any age group or gender for eating certain food items?

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 Likes and Dislikes

25

How much do you rate your spice tolerance / Give rating to the usual daily food according to its spiciness….

Allocate 0.1 points
Tolerance
0
0
10
Daily
0
0
10
26

Is there any change observed in foods habits in your family across the generations ?

Eg; Consumption of rotla, more consumption of ghee in earlier generations
27

Do you have any food allergies? If yes, please , mention…

28

Do you prefer…

Select one answer
29

What flavours do you crave or need in your meals?

Select one or more answers
30

Which kind of food is your go to option as a comfort food…

Select one or more answers
31

Are there any foods or flavours you avoid or dislike? What are they?

32

Which kind of food do you do you prefer?

Select one or more answers
33

What are the food texture you prefer

Select one or more answers
34

What is your comfort food?

35

Do you often try new kinds of foods or explore new cuisine?

36

Do you prefer several small meals or infrequent large meals?

Select one answer
37

Do you usually eat breakfast?

Select one answer
38

What time do you generally have dinner?

Select one answer
39

do you drink water before or during means?

Select one answer
40

Are you satisfied with your current diet?

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 Special Ocassions

41

During occasion like birthday what kinds of foods are cooked / consumed in your family…

42

What foods are cooked during occasions like anniversaries other significant milestones….

43

What are the specific foods cooked/ consumed during local events in your culture

Kheer during sarad Punam
44

What are traditional food is cooked & consumed during pujas & havans? Please mention with reasoning...

45

What kinds of foods are cooked/ consumed during family gathering that are commonly expected, also who usually cooks them

46

What are different kind of foods use/ consumed/ cooked during different phases of wedding, please specify significant importance or reasonings

Eg; mehendi, wedding dinners, gor puri with ghee for after mosadu etc
47

Are there specific foods associated with the new year? What kind of foods are traditionally consumed to mark the start of a new year or is beneficial or when consumed promises good fortune or health

Like eating types of weeds on 7th day of 1st month of the year for a promised good health
48

Which kinds of desserts are "kind of a must " on special occassions

Bajra ladoo on Nag Panchami, Pangiri on Janmashtami, plum cake on Christmas, dhudh poha on sarad punnam
49

Which kinds of snacks are "kind of a must " on special occassions

Padh Vadi Rotli on Chaitri Aatham & Navratri Aatham , vada on chhat and Nived for Devi
50

Which kinds of drinks are "kind of a must " on special occassions

Bhaang on Shivratri & Holi
51

Can you describe a particular memorial meal / funeral meals particularly first day to a week

52

What food practices, ingredients, methods & items are avoided for memorial meals

Fried foods, adding salt & doing tadka is avoided
53

Can you mention any funeral rights you related to foods, if yes please mention...

54

What kinds of foods are cooked/ consumed during the death anniversaries?

55

Are there any food habits or items are restricted/ avoided from the above mentioned events

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Life Stage Specific  

56

What are the specific foods that are encourage to be cooked & encouraged to be given to a child for its growth & development according to your culture

57

Why are these foods considered important according to your culture

58

What foods that are avoided or restricted during infancy & early childhood

59

Are there any specific foods given to a new born baby & mother after delivery, if yes please mention.

Any prelactives
60

Does your culture influence the timings of initiation & portion of certain foods, if yes please mention how so

61

Are there any foods to be consumed or food habits to be adopted during adolescents in your culture? Please mention:

62

Have you observed any intentional or unintentional changes in your food habits during/ while transitioning to adolescents...if yes, please mention

63

If possible please mention why such changes happened & reason for choosing the alternative...

64

What kinds of foods are recommended before & during pregnancy according to your culture?

65

Are there any specific foods or food practices that are avoided/restricted before & during pregnancy, if yes please mention...

66

If possible please give reasons for why some of the mentioned foods are recommended or restricted.

Like how does it support the mother's & baby's health & development
67

During adulthood, are there any foods or food habits that are recommended to be included/ adapted for maintaining health & wellness, it yes please mention..

68

During adulthood, are there any foods or food habits that are recommended to be included/ adapted for maintaining health & wellness, it yes please mention..

69

During adulthood, are there any foods or food habits that are recommended to be restricted / avoided for maintaining health & wellness, it yes please mention..

70

Are there any foods & food habits which are encouraged to be cooked/consumed menstruation or is related to it in your culture? If yes, please mention.

71

Are there any foods & food habits which are encouraged to be avoided / restricted during menstruation or is related to it in your culture? If yes, please mention.

72

What are the foods & food habits recommended / adapted for elderly people to support their aging & health...

73

What are the foods & food habits restricted / avoided for elderly people to support their aging & health...

74

What are the reasons of these recommendations, adaptations and restrictions?

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75

do you read nutritional labels while doing grocery shopping?

Select one answer
76

Are you conscious of your calorie intake?

Select one answer
77

if yes, how many kcals do you consume on daily basis?

Use digits only
78

Are you conscious of your protein intake?

Select one answer
79

if yes, how many grams do you consume?

Use digits only
80

How many tsp of salt do you usually consume?

Use digits only
81

How many tbsp of oil do you usually consume?

Use digits only
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