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Healthy Eating Questionnaire

We would like to find out more about your eating habits so would be very grateful if you could complete this questionnaire.

What school year are you in?

Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11

How often do you have breakfast?

Always
Sometimes
Never

If you answered yes, where do you eat breakfast?

At Home
On the way to school
It varies

How often do you have lunch?

Always
Sometimes
Never

If you do have lunch, do you have.....

A cold meal
A hot meal
A packed Lunch
It varies

If you have packed lunch, what did you have in your lunch box yesterday?

Fruit

Veg/salad

Sandwich/roll

Pasta/rice

Meat/fish

Cheese

Yoghurt

Biscuit/cake

Crisp

Drink

Other

Do you think the packed lunch you had yesterday was a healthy meal?

Yes
Quite
No

Do you have bottled water?

Yes
Sometimes
No

Do you have fruit at break?

Yes
Sometimes
No

Do you have an evening meal?

Yes
Sometimes
No

If you have an evening meal, where do you eat it?

At the table with family
In front of the TV
Where ever you are
It varies