For each question
please mark the answer which is closest to your personal case (open the box of the different answers with the arrow pointed towards the bottom). This arrow is to be found at the far right hand of each box. Make your choice by choosing the most appropriate answer or enter the corresponding checkbox zone.
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by pushing on the button : "Send the questionary by clicking on this button".
17) Do you eat the followings ?
Yes (1-3X/week)
Yes (+ than 3X/week)
No
- white bread
- brown bread
- Wholebran bread
- Milk bread
- bread with sugar
- Croissants
- Pastry
- Dainish pastries
- Biscuits
18) Do you eat the followings ?
Yes (1-3X/week)
Yes (+ than 3X/week)
No
- Rice
- Pastas
- Potatoes
- Mashed potatoes / croquettes
- Other potatoes preparations
19) Do you eat vegetables : ?
Yes (1-3X/week)
Yes (+ than 3X/week)
No
- Naturaly cooked
- Cooked in sauce
- Raw
- Fried
20) Do you eat meat / poultry / fish / eggs / same : ?
Yes
No
- Meat
- Poultry
- Fish
- Eggs
- Same
- Others (Please precise)
21) Do you eat the following meat preparations : ?
Yes (1-3X/week)
Yes (+ than 3X/week)
No
- Hamburger
- Raw meat like hamburger (natural)
- Raw meat like hamburger (prepared)
- Blood pudding
- Corned beef
- Others (Please precise)
22) Do you eat pork meat : ?
Yes (1-3X/week)
Yes (+ than 3X/week)
No
- Fat pork meat (ex: pâté, salami,
    saucisson, ...)
- Lean pork meat (ex: ham, saxe
     filet, turkey dinde, ...)
- I sometimes eat fat pork meat
    and I sometimes eat lean pork meat
- Others (Please precise)
23) Do you eat dairy products : ?
Yes (1-3X/week)
Yes (+ than 3X/week)
No
- Milk
- Yogourt
- Milk or yogourt fermented with thermic
     treatment
- Dessert cream like pudding
- Whipped Cream
- Ice cream
- Others (Please precise)
24) Do you use substitutes to dairy products ?
Yes
No
- Lactose POOR milk
- Soya milk
- Almond milk
- Rice milk
- Soya yougourt
- Soya milk for cooking
- Ice cream made with soya milk
- Sorbets
- Dessert made with soya
- Others (Please precise)
25) Do you eat the following cheese : ?
Yes (1-3X/week)
Yes (+ than 3X/week)
No
- Gouda
- Gruyère
- Camembert
- Brie
- Goat
- White cheese
- Melted cheese
- Others (Please precise)
26) Do you tolerate the following cheese?
    (choose between Yes / No or ??? (I don't know))
Yes
No
???
- Cottage cheese
- Cheddar
- Swiss
- Ricotta
- Lactose free cheese
- Tofu
- Others (Please precise)
27) Do you use the following fat products : ?
Yes (1-3X/week)
Yes (+ than 3X/week)
No
- Margarine
- Minarine - Nostrossls
- Butter
- Light butter
- Others (Please precise)
28) Do you use dressings or sauces with your salades : ?
Yes (1-3X/week)
Yes (+ than 3X/week)
No
- Mayonnaise, sauce or industrial vinaigrette
- Mayonnaise, sauce or vinaigrette home
     made
- Sauce dressing or light industrial
- Sauce dressing or light home
     made
- Lactose free mix home made
- Others (Please precise)
29) Do you eat the following : ?
Yes (1-3X/week)
Yes (+ than 3X/week)
No
- Chips
- Peanuts
- Aperitif biscuits
- Chocolate
- Snacks
- Chocolate sweets
- Chocolate products
- Sweets
- Others (Please precise)
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