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How many times a day do you eat? ( Snacks included) 
 
6-7 times
 
5-6 times
 
4-5 times
 
3-4 times
 
2-3 times
 
 
 
How often do you skip breakfast in a week?
 
Always
 
Often
 
Sometimes
 
Rarely
 
Never
 
 
 
Do you find yourself restless or tired in class/work before lunch time ? 
 
Always
 
Often
 
Sometimes
 
Rarely
 
Never
 
 
 
Do you eat in between classes/every 2-3 hours?
 
Always
 
Often
 
Sometimes
 
Rarely
 
Never
 
 
 
Do you find it hard to concentrate or feel tired if you haven't eaten in 4 hours? 
 
Always
 
Often
 
Sometimes
 
Rarely
 
Never
 
 
 
How often do you find yourself skipping meals? 
 
Always
 
Often
 
Sometimes
 
Rarely
 
Never
 
 
 
How many hours of sleep do you get in a day ? 
 
8-9 hours
 
7-8 hours
 
6-7 hours
 
5-6 hours
 
4-5 hours
 
 
 
Do you find yourself preoccupied with the thought of food? 
 
Always
 
Often
 
Sometimes
 
Rarely
 
Never
 
 
 
I usually snack on something while doing an important task i.e Studying,Assignments,Work-related tasks.
 
Always
 
Often
 
Sometimes
 
Rarely
 
Never
 
 
 
I usually snack on salty/savoury/oily foods. 
 
Always
 
Often
 
Sometimes
 
Rarely
 
Never