Nutrition Assessment

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Dietary profile

For each question or statement, click on the response that best reflects your circumstances.

Try not to spend too long thinking about a question - just be open and honest with yourself.

*required

Which of the following factors, if any, influence which foods you eat? Select all relevant options *

Health

Religion

Cost

Time

Convenience

Taste

None

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Do you follow a vegetarian diet? *

Yes

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Please indicate whether you:

Avoid eggs

Avoid dairy

Consume both eggs and dairy

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Do you have any food allergies or intolerances? *

Yes

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Which foods do you have an allergy to or intolerance of?

Eggs

Milk

Fish

Shellfish

Peanuts

Treenuts (E.g. Almonds, cashews, walnuts)

Soy

Gluten

Wheat

Other

Are you taking vitamin or mineral supplements? *

Yes

How do you feel about your diet? *

I know my diet needs improvement but I don't really want to change it

I am happy with my diet

I want to change my diet and would appreciate some help

Exit

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Dietary patterns

For each question or statement, click on the response that best reflects your circumstances.

Try not to spend too long thinking about a question - just be open and honest with yourself.

How often do you skip a main meal? *

Every day

Regularly (4-6 times a week)

Occasionally (2-3 times a week)

Seldom (once a week)

Never

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Do you snack? *

Yes

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When snacking are you:

Always mindful

Mostly mindful

Seldom mindful

Never mindful

What do you snack on?

Processed meats or sausages

Biscuits

Cake or muffins

Cheese

Low-fat cottage cheese

Chocolate

Chips

Processed crackers

Wholegrain low-fat crackers

Fruit

Nuts and seeds

Pastries

Homemade popcorn

Ready-made popcorn

Lollies

Vegetables

Unsweetened yoghurt

Cereal bars

Eggs

Meal replacement shakes

Protein bars

Which statement best describes what you eat during the week compared with weekends? *

I eat more healthily during the week than on weekends

I eat more healthily on weekends than during the week

There is no difference between what I eat during the week and on weekends

Do you do your own grocery shopping? *

Yes

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Who prepares most of your food? *

I do

Somebody else at home

Restaurants

Takeaway outlets

Canteens

Other

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Select all the reasons that stop you from preparing your own food.

Time

Energy

Cooking facilities

Knowledge

Lack of interest

Other

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Select all the reasons that stop you from preparing your own food.

Time

Energy

Cooking facilities

Knowledge

Lack of interest

Other

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Select all the reasons that stop you from preparing your own food.

Time

Energy

Cooking facilities

Knowledge

Lack of interest

Other

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Select all the reasons that stop you from preparing your own food.

Time

Energy

Cooking facilities

Knowledge

Lack of interest

Other

Back

Exit

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Dietary intake

For each question or statement, click on the response that best reflects your circumstances.

Try not to spend too long thinking about a question - just be open and honest with yourself.

How often would you have the following:

Serving of fresh fruit per day *

0 1 2 3 4 5 6 7 8 9 10+

Serving of canned or dried fruit per day *

0 1 2 3 4 5 6 7 8 9 10+

Serving of vegetables per day *

0 1 2 3 4 5 6 7 8 9 10+

Serving of nuts or seeds per day *

0 1 2 3 4 5 6 7 8 9 10+

Serving wholegrain or high fibre, starchy foods per day *

0 1 2 3 4 5 6 7 8 9 10+

Serving of processed meat *

UsuallyOften

Sometimes

RarelyNever

NotApplicable

Cook with salt 0=pinch, 5 = heaped dessertspoon *

0 1 2 3 4 5

Cook with fat 0=never, 5= always *

0 1 2 3 4 5

Eat fatty food - servicings per day *

0 1 2 3 4 5 6 7 8 9 10+

How often do you eat lean meat? *

Always

Frequently

Usually

Occasionally

Rarely

Never

How often do you add salt or ingredients high in salt to your food during cooking or at the table? *

Daily

UsuallyOften

Sometimes

RarelyNever

NotApplicable

How often do you eat foods high in sodium (salt)? *

Everyday

Regularly (4 - 6 times a week)

Occasionally (2 - 3 times a week)

Seldom (once a week or less)

Never

How many sugar-containing beverages do you drink per day? *

0 1 2 3 4 5 6 7 8 9 10+

How many times a week do you eat sugary foods? *

Every day

Regularly (4 - 6 times a week)

Occasionally (2 - 3 times a week)

Seldom (once a week or less)

Never

What is the total number of teaspoons of sugar you add to tea, coffee, cereals and/or porridge on a daily basis? *

0 1 2 3 4 5 6 7 8 9 10+

How many times a week do you eat highly processed foods? *

Daily

UsuallyOrOften

Sometimes

RarelyOrNever

Weekly

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Do you consume milk or yoghurt? *

Yes

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How often do you consume low-fat dairy?

Always

Frequently

Usually

Occasionally

Rarely

Never

How many servings of milk or yoghurt do you consume in a day? *

0 1 2 3 4 5 6 7 8 9 10+

How many times a week do you eat fast food? *

Every day

Regularly (4 - 6 times a week)

Occasionally (2 - 3 times a week)

Seldom (once a week or less)

Never

How many times a week do you eat omega-3 rich fish? *

Every day

Regularly (4 - 6 times a week)

Occasionally (2 - 3 times a week)

Seldom (once a week or less)

Never

How many times a week do you use sesame, flaxseed, canola oil, margarine, sunflower oil, grape seed or peanut oils? *

Daily

UsuallyOften

Sometimes

RarelyNever

NotApplicable

Back

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AIA Vitality Age Assessment

Nutrition results

Psychological wellbeing icon

ON THIS PAGE

Your AIA Vitality age
Your results

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Step Your AIA Vitality age

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Your AIA Vitality age

Age api response

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Step Your results

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Your results

Well-being assessment api response