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Diabetes diet questionnaire

Discover the perfect diabetes diet plan for your clients with our interactive questionnaire. Get them answer a few simple questions about their lifestyle and preferences, and provide personalized recommendations to help manage their blood sugar levels. Say goodbye to guesswork and hello to client's healthier journey to better health today!

3 minutes to complete

Eligibility

To be eligible to complete the diabetes diet questionnaire, individuals must be diagnosed with diabetes by a healthcare professional and be actively managing their condition through diet and lifestyle changes. The questionnaire is designed to assess current dietary habits and provide personalized recommendations for managing blood sugar levels.

Questions for Diabetes diet questionnaire

Questions

1.

What is your age?

The answer should be a single choice:
  1. Under 18
  2. 18-24
  3. 25-34
  4. 35-44
  5. 45-54
  6. 55-64
  7. 65 and above
2.

What is your type of Diabetes?

The answer should be a single choice:
  1. Type I
  2. Type II
  3. Gestational
  4. LADA
3.

How many meals do you typically eat per day?

The answer should be a single choice:
  1. 1 meal
  2. 2 meals
  3. 3 meals
  4. More than 3 meals
4.

How often do you consume fruits?

The answer should be a single choice:
  1. Never or very rarely
  2. Once a week or less
  3. 2-4 times a week
  4. 5-6 times a week
  5. Daily
5.

How often do you consume vegetables?

The answer should be a single choice:
  1. Never or very rarely
  2. Once a week or less
  3. 2-4 times a week
  4. 5-6 times a week
  5. Daily
6.

How often do you consume sugary drinks (sodas, juices)?

The answer should be a single choice:
  1. Never or very rarely
  2. Once a week or less
  3. 2-4 times a week
  4. Daily
7.

Do you read food labels to check for sugar content?

The answer should be a single choice:
  1. Always
  2. Often
  3. Sometimes
  4. Rarely
  5. Never
8.

How often do you eat whole grains (brown rice, whole wheat bread)?

The answer should be a single choice:
  1. Never or very rarely
  2. Once a week or less
  3. 2-4 times a week
  4. Daily
9.

How often do you consume high-fat dairy products (full-fat milk, cheese)?

The answer should be a single choice:
  1. Never or very rarely
  2. Once a week or less
  3. 2-4 times a week
  4. Daily
10.

How often do you consume processed meats (bacon, sausages)?

The answer should be a single choice:
  1. Never or very rarely
  2. Once a week or less
  3. 2-4 times a week
  4. Daily
11.

How often do you eat fast food (burgers, fries)?

The answer should be a single choice:
  1. Never or very rarely
  2. Once a month or less
  3. 1-2 times a month
  4. Weekly
12.

What is your biggest challenge to maintaining a healthy diet? (Select all that apply)

The answer should be a multiple choice:
  1. Lack of time for meal preparation
  2. Cravings for unhealthy foods
  3. Lack of knowledge about healthy foods
  4. Social situations (e.g., dining out)
  5. Other: _______________
13.

Have you ever received diet counseling?

The answer should be a single choice:
  1. Yes
  2. No
14.

Do you have a current meal plan?

The answer should be a single choice:
  1. Yes
  2. No
15.

How confident are you in your ability to stick to a healthy diet?

The answer should be a single choice:
  1. Very confident
  2. Somewhat confident
  3. Not confident
16.

How many servings of starchy foods (bread, rice, pasta, potatoes) do you eat per meal?

The answer should be a single choice:
  1. None
  2. 1 serving
  3. 2 servings
  4. More than 2 servings
17.

What type of milk do you usually use?

The answer should be a single choice:
  1. Full-fat
  2. Semi-skimmed
  3. Skimmed
  4. Non-dairy alternatives

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Here are some FAQs and additional information
on
Diabetes diet questionnaire

What foods should one avoid if he/she has diabetes?

Avoid sugary drinks, processed snacks, and high-carb foods like white bread and pasta.

How many carbohydrates should one eat per meal with diabetes?

One should aim for 45-60 grams of carbohydrates per meal, but this can vary depending on your individual needs.

Is it okay to eat fruit if one has diabetes?

Yes, but one must choose lower sugar fruits like berries and limit portion sizes.

Should one follow a specific diet plan for diabetes?

It's best to work with a registered dietitian to create a personalized meal plan that fits your needs and preferences.

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