Dietary Questionnaire

For Brad Pamp’s information only.

1	Do you typically wake up with ready-to-go energy?
2	Do you typically wake up hungry?
3	If you consume an early morning meal, what do you favour; please list the portion.
4	Are you commonly hungry around 10 am?
5	Do you often consume a snack-like meal (smoko) around 10.30 am?
6	What would a typical lunch look like? And again, please list the portion.
7	Do you often feel sluggish in the afternoon?
8	What time do you typically eat your evening meal?
9	Please discuss a typical evening meal (and portion).
10	Do you often crave sweeter choices, particularly later in the evening?
11	Are you responsible for shopping? If so, where do you shop for your groceries?
12	Do you prepare your meals?
13	List what you feel is your worst food choice/s?
14	Are you often faced with post-meal gas, belching, gut pain (bloated) or a runny nose?
15	OK, let’s discuss your (if any) alcohol choices.
16	Are you challenged with food intolerance? Please discuss.
17	Are you prescribed medication, or do you take OTC supplements?
18	Can you please give me an idea of food your DISLIKE?
19	If you exercise, what do you favour?