How well are you - assessment - Metanoia Wellness

What do you love eating and your diet habits

For me to really help you, please be as honest as you can. Your guilty pleasures are safe with me.

I drink ______ large glasses* of water plain water (mineral/still/tap) per day*

*Large glass = size of a coffee cup/mug

Which picture best describes your plate when it comes to proportions of veg, carbs and protein?*

I eat oily fish (ie. salmon, mackerel, trout) less than 2 times a week*

Yes
No

I eat seeds/nuts*

Daily
4-5 times a week
1-3 times a week

I eat foods made of wheat (bread, pasta, muffins, croissant or any other pastries, cake)*

At least 3 times a day
Mostly once everyday
2-3 times a week

The majority of times I eat white rice, white flour and bread rather than the wholegrain*

Yes
No

I eat red meat (like pork, veal, venison, beef, lamb) at least 2 times a week*

Yes
No

I drink dairy milk or eat dairy cheese and yogurt*

At least 3 times a day
Once a day everyday
1-3 times a week
I don't eat dairy

For example: if you had granola with yogurt/porridge with milk, coffee with milk at breakfast, coffee with milk in between breakfast and lunch that makes 3 occasions in a day.

I like to add sugar (white sugar, brown sugar, honey, coconut sugar or nectar, etc) to my drinks or food (for example honey on porridge)*

Yes
No

I tend to eat sweet snacks (like muffins, chocolate, yogurt coated nuts, chocolate coated nuts, cereal bars, protein bars with dates, dried fruits, etc)*

I don’t eat sweet things
Once or twice a day
4-5 times a week
2-3 times a week

I know what you are thinking..."But dried fruit surely is healthier than a muffin?!". Yes, to a certain extent. This question will enable us to work out the level of glucose you get.

I drink caffeinated drinks _______ times per day most days*

My choice of caffeinated drink is*

How often do you have 10 or more units of alcohol per week?*

Once or twice a year
Once every couple of months
Once a month
Most weeks
I don’t drink alcohol

1 medium glass of wine (175ml) = 2.4 units 1 pint of beer = 2.3 units 1 small bottle of bear = 1.6 units 1 single shot of spirit = 1 unit

I use butter, cheese, sausages, bacon (any kind of bacon) often (more than 4 times a week) in my cooking*

Yes
No

For example, if you had toast with butter (1) and bacon (2) at breakfast, salad with cheese (3) at lunch and sausage (4) casserole at dinner that counts for 4 times.

I smoke more than 5 cigarettes a day*

Yes
No
I don't smoke

I eat food that has been fried for more than 5 min*

More than 2 times a week
Less than 2 times a week

In this case fried food is referred to cooking/eating food that has been cooked in hot fat (oil/butter) until it has a dark brown appearance and no liquid has been added until this point (ie. pan fried, shallow fried and deep fried foods)

My top 3 cooking methods are:*

Frying in oil/butter (pan fried, shallow fried or deep fried)
Steaming
Boiling
Grilling
Oven baking
Stir frying
Microwaving
I don't tend to cook, I buy pre-prepared food and heat it up or buy at home delivery

I eat heavily processed foods*

More than 2 times a week
Less than 2 times a week

Processed foods include ready to eat foods (like breakfast cereals, granola bars, deli meat, cheese, sliced bread, crisps, sausage rolls, pies, cakes, biscuits) and pre-made meals (like frozen pizza, microwave meals and ready meals).

I eat foods with preservatives and additives (like most salad dressings, pasta sauces, jams, canned fruit, etc)*

More than 2 times a week
Less than 2 times a week

I would not be able to give up eating certain foods*

YES, I would find that difficult
NO, I would find that pretty easy

Does the food available in your workplace influence what and how you eat?*

YES, I find it difficult to keep healthy
YES, but I choose healthy options
NO, I bring food from home or choose places outside of work that I know do healthy food
I don't believe the food I eat affects my wellbeing

My appetite is generally:*

Variable/grazer
Often skip meals
Strong, intense hunger
Needs regular meals
Slow and constant
Can skip meals

Which of the following describes you the closest? You tick all that apply if more than one

The food tastes I tend to enjoy are:*

Bitter (ie. dark leafy veg, herbs, dark chocolate)
Pungent (ie. chilies, garlic, onion, black pepper, ginger, mustard)
Astringent (ie. apples, cranberries, pomegranate, most raw vegetables, coriander)
Sour (ie. grapefruit, lemon, pickles, tomatoes, vinegar, yogurt)
Salty (ie. celery, seaweed, soy sauce, salt)
Sweet (ie. dates, figs, mangos, melons, sweet potatoes, honey)

Which of the following describes you the closest? You tick all that apply if more than one. The foods in the brackets describe which foods have similar tastes

How well are you – assessment

Step 1 of 9

Learning about who you are

What do you love eating and your diet habits

How is your body feeling?

ENERGY CHECK

STRESS CHECK

EXERCISE CHECK

IMMUNITY CHECK

POLLUTION CHECK

DIGESTION CHECK