Food Frequency List
Kindly fill correctly
Name
First Name
Last Name
Email
example@example.com
Date
-
Month
-
Day
Year
Date
Your usual/preferred Breakfast Choice
E.g Tea, bread, pap, etc
i)
ii)
iii)
Others;
Your usual/preferred Lunch Choice
E.g Jollof rice, porridge beans etc.
i)
ii)
iii)
Others;
Your usual/preferred Dinner Choice
E.g Eba and egusi, beans and plantain etc.
i)
ii)
iii)
Others;
Your usual/preferred Protein Source.
E.g meat, egg, fish etc.
List your usual protein source;
Your usual/preferred Fruits Choice
E.g banana, apple, strawberries etc.
List your fruits and veggies choice;
Your usual/preferred Snacks Choice
E.g biscuits, chocolates, small chops etc.
List your snacks choice;
Your usual/preferred cooking oil
E.g power oil, palm oil etc
List them;
Submit
Should be Empty: