Diet Plan Questionnaire

Why did you decide to take this step?

Do you have any health problems?

Are you taking any medications?

Do you use supplements, that is, dietary supplements and which ones?

Are there intolerances to a certain type of food/food or allergic reactions?

Short diet diary - describe briefly what, how much and when you consume from foods/foods in the last 3 days

Have you already used some kind of diet, what kind and was it successful?

What is the biggest problem for you when changing your eating habits?

What habits are you willing to change? What would you like to change (in what situation can you apply it)?

Are there foods that you do not like and do not want to find on the menu?

What kind of fruits and vegetables do you prefer? (List 5-10 species)

What types of cereals do you prefer or do not mind?

What type of legumes do you prefer?

What types of meat and fish do you prefer?

Do you consume alcohol (which and how much)?

Do you consume caffeine (coffee or through tea) and how often?

Do you have problems with digestion (how often do you have stools)?

Do you have specialist or laboratory findings of blood and urine (not older than six months)?

Nutrition Questionnaire (20 mins)