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Pre Event Nutrition

The Day Before Your Event, How Many Meals Do You Eat?
One Meal
Two Meals
Three Meals
One to Two Meals
Two to Three Meals
Three or More Meals
If You Skip Meals the Day Before Your Event, Which Meal Do You Skip?
Breakfast
Lunch
Dinner
I Don't' Skip Meals
How Many Meals Would You Likely Skip the Week Before Your Event?
None
1 per week
2 per week
3 per week
4 per week
more than 5 per week
The Week of My Event, I Eat Out for Breakfast...
Rarely
Sometimes
Often
Daily
The Week of My Event, I Eat Out for Lunch...
Rarely
Sometimes
Often
Daily
The Week of My Event, I Eat Out for Dinner
Rarely
Sometimes
Often
Daily
The Week of My Event My Meals Are....
Extra Large Portions
Large Portions
High Fat
High Carbohydrate
High Sugar
Commercially Manufactured
None of These
The Ten Days Before Your Event, How Often Do You Snack?
Rarely
Only Morning Snack
Only Afternoon Snack
Only Evening Snack
I Snack Between All Meals
I graze on food throughout the day
The week of my event regularly drink these beverages
water
diet soda
regular soda
regular coffee
decaf coffee
espresso coffee
regular tea
decaf tea
herbal tea
whole milk
skim milk
juice
commercial electrolyte drink
homemade electrolyte drink
kombucha
fruit juice
The Week Before Your Event, Do You Drink Alcohol?
Yes
No
Occasionally
Rarely
From the list below, what triggers you to eat?
availability of food
loneliness
habit
lack of appetite awareness
external cues eg advertising
depression
boredom
hunger
self reward
comfort
PMS
Anxiety
Stress
Social Situations
Anger
Sadness
How would you describe your eating habits?
Skip one meal per day
Often Eating (Grazing)
Rapid Eating
Eating until Uncomfortably Full
Eating Alone (Embarassment)
Feeling Guilty or Disgusted By Eating
Eating Large Amounts of Food Throughout the Day
Middle of the Night Eating
Eat My Meals (Planned, Regular)
Are you Eating Some Organic Foods?
Yes
No
Some
Are you eating adequate intakes of carbohydrates, protein and fats for your goal?
Yes
Not Sure
Don't know
Do you know if your daily intake meeting the minimum daily requirements of micro nutrients?
Yes I know my minimum RDI and am consuming them
Yes I know my minimum RDI level but I am not sure if I am consuming them
No, I don't know about this
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