Healthy habits questionnaire template helps you gather information about individuals' diet, exercise and daily routines. Use this survey to assess healthy behaviors, identify areas for improvement, and support goal setting for students, clients, or patients.

This free template includes questions about breakfast habits, meal types and duration, snacking, beverage choices, satiety cues, chewing frequency, exercise frequency, weight perception, and health goals. Demographic items such as age and gender plus contact fields let you follow up.

It suits physical education teachers, fitness trainers, healthcare providers, wellness programs and schools. Customize wording, add branding, embed the form on a website or share a link; responses can be exported or integrated with other tools for tracking progress. Collect responses on mobile devices, export results to spreadsheets, or connect with over 100 integrations to automate workflows and follow-up for better outcomes.

Click "Use This Template" to customize and launch your healthy habits questionnaire today.