Food Survey
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Your Daily food
Fill out the form below and click "Submit" to finish the survey
Breakfast
Do you eat breakfast?
Yes
No
Sometimes
Breakfast food
Egg
Ham
Toast
Bottles of milk(0 - 5):
Lunch & Dinner
Kinds of food :
What fruit do you eat during?
Favourite Resturant :
Last date ate in that resturant:
