3 minutes
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.
What is your age?
What is your gender?
What is your current weight?
What is your height?
What is your Body Mass Index (BMI)?
Do you have any chronic health conditions?
Do you have any mental health conditions?
Are you pregnant or breastfeeding?
Do you have any food allergies or intolerances?
Do you have a history of eating disorders?
Do you have a history of malnutrition?
Are you currently taking any medications?
Do you consume alcohol?
Do you smoke tobacco?
Do you use illicit drugs?
What is your current occupation?
Do you have any children?
What is your current monthly income?
How would you describe your current diet?
Do you consume enough fruits and vegetables every day?
Do you consume enough protein every day?
Do you consume enough vitamins and minerals every day?
Do you have any concerns about your current diet?
Have you ever been diagnosed with any nutritional deficiencies?
Are you currently following a special diet?
Have you ever received treatment for malnutrition?
Are you currently taking any supplements?
Do you have any advice for others who may be at risk for malnutrition?