Student Breakfast questionnaire

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Name


A red asterisk (*) indicates required questions.


  1. Did you have some breakfast this morning?*
    Yes
    No


  1. Do you usually eat breakfast?*
    Yes
    No


  1. If you do not eat breakfast regularly, why not?*
    Not hungry?
    Not enough time?
    Breakfast not prepared?
    Don't like the food served?
    On a diet
    Don't want to gain weight


  1. If you did eat breakfast, which of the foods below were included in your breakfast?*
    Fruit or juice
    Cereal with milk, cream
    Bread, Toast, rolls
    Butter or spread
    Milk
    Eggs
    Meat
    Pancakes or waffles
    Coffee or tea
    cocoa or other beverage