3 minutes to complete

In order to be eligible to participate in the survey on malnutrition in developed countries, individuals must be aged 18 years or older and must reside in a developed country.

1.

What is your age?

The answer should be a text input.

2.

What is your gender?

The answer should be a text input.

3.

What is your current weight?

The answer should be a text input.

4.

What is your height?

The answer should be a text input.

5.

What is your Body Mass Index (BMI)?

The answer should be a text input.

6.

Do you have any chronic health conditions?

The answer should be a single choice:

- Yes
- No
- Unsure

7.

Do you have any mental health conditions?

The answer should be a single choice:

- Yes
- No
- Unsure

8.

Are you pregnant or breastfeeding?

The answer should be a text input.

9.

Do you have any food allergies or intolerances?

The answer should be a single choice:

- Yes
- No
- Unsure

10.

Do you have a history of eating disorders?

The answer should be a single choice:

- Yes
- No
- Unsure

11.

Do you have a history of malnutrition?

The answer should be a single choice:

- Yes
- No
- Unsure

12.

Are you currently taking any medications?

The answer should be a text input.

13.

Do you consume alcohol?

The answer should be a single choice:

- Yes
- No
- Unsure

14.

Do you smoke tobacco?

The answer should be a single choice:

- Yes
- No
- Unsure

15.

Do you use illicit drugs?

The answer should be a single choice:

- Yes
- No
- Unsure

16.

What is your current occupation?

The answer should be a text input.

17.

Do you have any children?

The answer should be a single choice:

- Yes
- No
- Unsure

18.

What is your current monthly income?

The answer should be a text input.

19.

How would you describe your current diet?

The answer should be a text input.

20.

Do you consume enough fruits and vegetables every day?

The answer should be a single choice:

- Yes
- No
- Unsure

21.

Do you consume enough protein every day?

The answer should be a single choice:

- Yes
- No
- Unsure

22.

Do you consume enough vitamins and minerals every day?

The answer should be a single choice:

- Yes
- No
- Unsure

23.

Do you have any concerns about your current diet?

The answer should be a single choice:

- Yes
- No
- Unsure

24.

Have you ever been diagnosed with any nutritional deficiencies?

The answer should be a single choice:

- Yes
- No
- Unsure

25.

Are you currently following a special diet?

The answer should be a text input.

26.

Have you ever received treatment for malnutrition?

The answer should be a single choice:

- Yes
- No
- Unsure

27.

Are you currently taking any supplements?

The answer should be a text input.

28.

Do you have any advice for others who may be at risk for malnutrition?

The answer should be a single choice:

- Yes
- No
- Unsure

- Survey on malnutrition in developing countries
- Survey on malnutrition in underdeveloped countries
- Survey on malnutrition in inindustrialized countries
- Survey on malnutrition in post industrial countries
- Survey on malnutrition in first world countries

on Survey On Malnutrition In Developed Countries

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Survey On Malnutrition In Developed Countries

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