This food habits questionnaire helps you understand how people shop for, prepare, and think about the food they eat. It is a short form built for community health projects, nutrition workshops, cooking classes, and student research. With 10 questions it fits comfortably on one to two printed pages.
What this survey measures
The template opens with an age question, then explores everyday eating and cooking behavior. Respondents report how often they order takeaway, how long they spend preparing a typical dinner, and whether they feel that meal prep takes too long. Further questions ask whether people reach their 5 a day, how confident they feel about their cooking, and whether they would be more adventurous with the right ingredients. A shopping section covers how often they food shop, whether ingredients go to waste, and a final open response line captures roughly how much they spend on food each week.
How to use it on paper
Print the questionnaire and hand it out at a class, clinic, market stall, or event, or leave stacks at a reception desk. Ask respondents to use a blue or black pen and mark one box per question. Collect the completed forms in a folder or drop box. Scan or photograph them and upload to PaperSurvey, which reads the marked answers and the handwritten spend figure automatically so you get clean, tallied results without manual data entry.
Customize this template
Most people swap in their own logo, adjust the age bands, and reword the frequency scales to match their audience. You can add questions about dietary needs or remove ones you do not need, and the layout reflows automatically to keep everything tidy.
Preview the PDF above, or use this template to start collecting responses today.