Beverage Questionnaire

On average, how often do you drink water each week? (choose one)

Never, or less than 1 time per week

1 time per week

2-3 times per week

4-6 times per week

1 time per day

2+ times per day

On average, how often do you drink 100% Fruit Juice each week?

Never, or less than 1 time per week

1 time per week

2-3 times per week

4-6 times per week

1 time per day

2+ times per day

On average, how often do you drink Sweetened Juice Beverages (Lemonade, Punch, Sunny Delight, etc.) each week?

Never, or less than 1 time per week

1 time per week

2-3 times per week

4-6 times per week

1 time per day

2+ times per day

On average, how often do you drink Whole Milk each week?

Never, or less than 1 time per week

1 time per week

2-3 times per week

4-6 times per week

1 time per day

2+ times per day

On average, how often do you drink Reduced Fat Milk (2%) each week?

Never, or less than 1 time per week

1 time per week

2-3 times per week

4-6 times per week

1 time per day

2+ times per day

On average, how often do you drink Low Fat/Fat Free Milk (Skim, 1%, Soymilk) each week?

Never, or less than 1 time per week

1 time per week

2-3 times per week

4-6 times per week

1 time per day

2+ times per day

On average, how often do you drink Regular Soft Drinks each week?

Never, or less than 1 time per week

1 time per week

2-3 times per week

4-6 times per week

1 time per day

2+ times per day

On average, how often do you drink Diet Soft Drinks/Artificially Sweetened Drinks (Crystal Light) each week?

Never, or less than 1 time per week

1 time per week

2-3 times per week

4-6 times per week

1 time per day

2+ times per day

On average, how often do you drink Sweetened Tea (Snapple, Arnold Palmer, Peace Tea) each week?

Never, or less than 1 time per week

1 time per week

2-3 times per week

4-6 times per week

1 time per day

2+ times per day

On average, how often do you drink a Latte or Cappuccino made with skim milk each week?

Never, or less than 1 time per week

1 time per week

2-3 times per week

4-6 times per week

1 time per day

2+ times per day