Diabetic Questionnaire.
Hi, I am a student a Lady Margaret School and my coursework is based on ‘Diabetes’ I would be grateful if you could complete my questionnaire.
1. What type of dish do you enjoy most?
Breakfast , Lunch , Dinner , Dessert , Snack , I don’t mind
Other
If ‘Other’ please specify………………………………………………………….....
2. What do you have most difficulty in finding to eat?
Snacks , Meals , Desserts , Nothing
3i. How much would you be willing to pay for yourself for any of these certain
meals?
Main Dish .. Dessert ... Snack
₤1-₤3 ...₤1-₤3 .... ₤1- ₤3
₤4-₤6 ...₤4-₤6 .... ₤4- ₤6
₤7-₤9 ...₤7-₤9 .... ₤7- ₤9
₤10-₤12 ...₤10-₤12 .... ₤10- ₤12
Other Other Other
If ‘Other’ please specify.
Main Dish: ₤…………...
Dessert: ₤………………
Snack: ₤………………..
3ii. How much would you be willing to pay for your family (serving 4) for any of
these certain meals?
Main Dish ... Dessert .. Snack
₤1-₤3 ...₤1-₤3 ....₤1- ₤3
₤4-₤6 ... ₤4-₤6 ....₤4- ₤6
₤7-₤9 ...₤7-₤9 ....₤7- ₤9
₤10-₤12 ...₤10-₤12 ....₤10- ₤12
₤13- ₤15 ...₤13- ₤15 ....₤13- ₤15
Other Other Other
If ‘Other’ please specify.
Main Dish: ₤…………...
Dessert: ₤………………
Snack: ₤………………..
4. How many portions would you want for yourself for any of these certain meals?
Main Dish .. Dessert .. Snack
1 ...... ...... 1 ...... .. 1
2 ...... ...... 2 ...... .. 2
3 ...... ........ 3 ..... .. 3
4 ...... ...... 4 ...... .. 4
Other Other Other
If ‘Other’ please specify.
Main Dish……………
Dessert…………………
Snack…………………
5. How would you want to buy your meal?
Frozen , Cook-chilled , Fresh , Other , If ‘Other’ please specify……...
6. How would you prefer your meal to be reheated?
Microwave , Oven , Other , If ‘Other’ please specify…………………...
7. Do you find it easy to find ready-meals for these certain meals? (Please circle)
Main Dish: Yes or No Dessert: Yes or No Snack: Yes or No
Thank you, for completing my questionnaire
Hi, I am a student a Lady Margaret School and my coursework is based on ‘Diabetes’ I would be grateful if you could complete my questionnaire.
1. What type of dish do you enjoy most?
Breakfast , Lunch , Dinner , Dessert , Snack , I don’t mind
Other
If ‘Other’ please specify………………………………………………………….....
2. What do you have most difficulty in finding to eat?
Snacks , Meals , Desserts , Nothing
3i. How much would you be willing to pay for yourself for any of these certain
meals?
Main Dish .. Dessert ... Snack
₤1-₤3 ...₤1-₤3 .... ₤1- ₤3
₤4-₤6 ...₤4-₤6 .... ₤4- ₤6
₤7-₤9 ...₤7-₤9 .... ₤7- ₤9
₤10-₤12 ...₤10-₤12 .... ₤10- ₤12
Other Other Other
If ‘Other’ please specify.
Main Dish: ₤…………...
Dessert: ₤………………
Snack: ₤………………..
3ii. How much would you be willing to pay for your family (serving 4) for any of
these certain meals?
Main Dish ... Dessert .. Snack
₤1-₤3 ...₤1-₤3 ....₤1- ₤3
₤4-₤6 ... ₤4-₤6 ....₤4- ₤6
₤7-₤9 ...₤7-₤9 ....₤7- ₤9
₤10-₤12 ...₤10-₤12 ....₤10- ₤12
₤13- ₤15 ...₤13- ₤15 ....₤13- ₤15
Other Other Other
If ‘Other’ please specify.
Main Dish: ₤…………...
Dessert: ₤………………
Snack: ₤………………..
4. How many portions would you want for yourself for any of these certain meals?
Main Dish .. Dessert .. Snack
1 ...... ...... 1 ...... .. 1
2 ...... ...... 2 ...... .. 2
3 ...... ........ 3 ..... .. 3
4 ...... ...... 4 ...... .. 4
Other Other Other
If ‘Other’ please specify.
Main Dish……………
Dessert…………………
Snack…………………
5. How would you want to buy your meal?
Frozen , Cook-chilled , Fresh , Other , If ‘Other’ please specify……...
6. How would you prefer your meal to be reheated?
Microwave , Oven , Other , If ‘Other’ please specify…………………...
7. Do you find it easy to find ready-meals for these certain meals? (Please circle)
Main Dish: Yes or No Dessert: Yes or No Snack: Yes or No
Thank you, for completing my questionnaire
