Food Management survey

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* 1. How old are you?

18-24

25-34

35-44

45-54

55-64

65+

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* 2. Do you have children? If yes please specify how many and their ages in the comments box

Yes

If you have children please specify their age/ages here:

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* 3. What are your 3 biggest stresses or struggles with your eating?

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* 4. What are your other challenges regarding food management?

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* 5. What are your main goals regarding your food management (select 3 please)

To lose weight / change shape

To maintain my weight / shape

To have better vitality and energy

To boost my immunity and live long

To nail emotional eating

To have effortless life long eating where I don’t feel stressed and overwhelmed and have the body and energy that I want for myself

Other (please specify)

Comments

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* 6. Which of the following diets have you been on in the last 20 years?

Weight Watchers

Slimming World

Atkins diet

Paleo

Cabbage soup diet

5:2

Intermittent fasting 16/8

Cambridge diet

Lighter Life

Other - please specify in comments box

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* 7. Where do you need most help regarding food management resources?

Knowing what to eat

Knowing how to lose weight / change shape

Food planning

Portion Control

Eating on the go

Being consistent

Easy, tasty recipe ideas

Understanding labels

Sugar addiction

Family food management (NB there is a separate survey for family food management)

Managing food when on holiday / when out of a routine

Self-motivation to keep eating healthily

Eating at other people’s houses / dealing with feeders

Budgeting

Other (please specify)

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* 8. What are your strengths regarding managing your food intake and being healthy?

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* 9. What are your weaknesses regarding managing your food intake and being healthy?

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* 10. If I could come up with a set of wish list resources to help you with eating better and managing your food better, what you they be?

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* 11. If you struggle with emotional eating, could you please describe and explain any know triggers (stress, boredom, hurt / upset, certain situations, other people etc.) and the sorts of things you eat / do

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* 12. If there is anything else that you’d like to write here about your food management struggles and how someone like me could help you, please write here

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* 13. If you’d like a personal response to this survey if you don’t mind me knowing you who are please write your details here

Name

Email Address