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Survey # 3

Eating habits

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Who cooks the food in your home:
Another person

The food that you cook:
Is of high caloric value
Is of low caloric value

The food that another person prepares you:
Is of high caloric value
Is of low caloric value

When you cook the food:
You prepare the exact quantity
You prepare a greater quantity just in case it is necessary

When another person prepares the food:
Prepares the exact quantity
Prepares more than the necessary for own initiative
Prepares more than necessary for your initiative

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Medical supervision by Dr. Arieh Goldberg Kalik.
Bariatric physician, certified medical nutrition specialist. Certificate # 1010084

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