Eating Habits Survey

Welcome! If you are an older adult, this questionnaire will help you find out how you are doing with choosing foods that help you stay healthy and active.

Welcome

Photo of couple using computer

Answer 14 short questions about your eating habits. This should take about 10 minutes.

Your Benefits

  • What you eat impacts your health.
  • Find out what you are doing well.
  • Find out where you can improve.
  • Learn about some steps you can take to improve your eating habits.

Survey Steps

  • Step 1 Tell us a bit about yourself.
  • Step 2 Complete all 14 questions.
  • Step 3 When you are finished, we will tell you your results.
  • Step 4 Find nutrition resources and links to help you to improve your habits.