Survey · Market research
Diet survey template
Covers the diet someone follows, a week of typical eating in one grid, what drives their choices and what makes eating well harder. People who follow a particular diet are asked why, and everyone else skips straight past it.
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Try it as a respondent
Every question, and where it leads
The conversation
What a respondent is asked, in order.
Hi! This is a short survey about everyday eating habits. Answers are for general research, and nothing here is judged.
Do you follow a particular way of eating?
What are your main reasons for eating this way?
On a typical day, how many proper meals do you eat?
How often do you have each of these?
How often do you snack between meals?
In a normal week, on how many days do you cook at home?
Rank what most influences what you eat.
How happy are you with the way you eat right now?
What makes it harder to eat the way you'd like?
What one change would make eating well easier for you?
Which age group are you in?
Ends with
Thank you for taking part 🥗
The flow
Where each answer leads. Every route here is editable once the form is yours.
Single select
Multi select
Single select
Matrix
Single select
Opinion scale
Ranking
Rating
Multi select
Long text
Dropdown
What this template uses
- Single select
- Multi select
- Matrix
- Opinion scale
- Ranking
- Rating
- Long text
- Dropdown
- 1 branch
Questions to consider
- What decision will the results inform: a menu, a product, a workplace wellbeing plan or a class project?
- Which foods in the frequency grid matter for your purpose, and which can go?
- Do you need the age question, or any other personal detail, to answer your research question?
- How will you tell people what the survey is for and who sees the answers?
How to use the responses
Start with the frequency grid and the ranking to see what a typical week looks like and what drives it. Then group responses by diet or by age band to see whether barriers differ between groups. The open answers about what would make eating easier are often the most practical part: count the themes that repeat. Keep the findings general, and do not use individual answers to give anyone nutrition advice.
How to customize and share it
- 1Edit the diet options and the food grid rows to match the foods and eating styles common in your audience.
- 2Remove the age question if you don't need it, and add a short line to the greeting saying who will see the results.
- 3Share the link where your audience already is, such as a staff newsletter, a class group or a customer email.
Frequently asked questions
What questions should a diet survey include?
Ask about the eating pattern people follow, how often they eat key food groups, how much they cook, what influences their choices and what gets in the way. Keep personal details to what you really need.
Can a diet survey be used to give nutrition advice?
No. A general survey tells you about patterns across a group. Advice for an individual should come from a qualified professional.
Should a diet survey be anonymous?
Usually, yes. Eating habits feel personal, and people answer more honestly when they don't have to give a name. This template collects no contact details.
Can I edit the food list?
Yes. Clicking Use this template copies it into your account, where you can change every question, option and grid row before sharing it.