Renew-Phy Survey English

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

General Questions

Name

Age

Gender

How many meals do you eat in a day?

Other:

Clear selection

What would you consider your main meal

Breakfast

Lunch

Dinner

Other:

Clear selection

I regularly eat breakfast

Yes

Clear selection

I regularly eat lunch

Yes

Clear selection

I regularly eat dinner

Yes

Clear selection

I consistently eat at the same time everyday

Yes

Clear selection

I have one or more snack every day

Yes

Clear selection

I calculate the number of calories I eat in a day

Yes

Clear selection

I currently take a meal replacement regularly*

Yes

Clear selection

* If you said yes, what product do you take and from what brand?

I feel intense hunger or cravings during the day

Yes

Clear selection

I prefer drinking shakes and smoothies in the morning over a real meal

Yes

Clear selection

I follow a consistent sleep schedule

Yes

Clear selection

Morning or night person

Morning

Night

Clear selection

I think that meal replacements are healthy

Yes

Clear selection

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms