Chinese Nutrition: Food Preferences

Name *

First Name

Last Name

Food Preferences

Please check the foods that you consume regularly.

Red Meat (Beef, Pork, Etc)

White Meat (Poultry)

Fish

Dairy

White Flours/Breads/Crackers

Wheat or Whole Grain Flours/Breads/Crackers

Vegetables - Fresh

Vegetables - Canned or frozen

Fruits - Fresh

Fruits - Canned or frozen

Beans

Nuts

Seeds

Sweets and Desserts

Coffee

Artificial Sweetener

Water

Alcohol

Tobacco

Marijuana

Food Preperation

Please check the boxes of the sentences that you agree with.

I prefer to eat raw/cold foods.

I prefer to drink ice water versus room temperature.

I prefer to eat warm/hot cooked foods.

I boil foods.

I sautee foods.

I bake foods.

I prefer spicy foods or bitter foods.

I prefer sour foods.

I prefer salty foods.

I prefer pungent foods (onions/garlic).

I prefer sweet foods.

I prefer bland foods.

I prefer foods that are easily digestible.

Cooking Preferences

Please check the boxes of the sentences that you agree with.

I like to cook.

I know how to cook.

I have time to cook.

I like trying new foods.

I can eat anything.

I can do without any particular food if necessary.

I eat out a lot.

Someone else usually cooks for me.

I cook meals based on a delivery service.

I enjoy eating well.

I chew well.

I usually eat with friends or family.

I feel better after eating.

I feel energized after eating.

I feel tired after eating.

Hot Type

Please check the boxes of the sentences that describe you.

I often feel warm or hot.

I have a reddish complexion/coloring.

I desire cold drinks and food.

I am thirsty often.

I have an outgoing personality.

I have high outward energy.

I get angered/irritated easily.

My urine is dark and/or scanty.

My mucous is yellow/thick.

Cold Type

Please check the boxes of the sentences that describe you.

I often feel cool or cold.

I have a pale complexion/coloring.

I desire warm drinks and food.

I am thirsty rarely.

I have an inward personality.

I have quiet energy.

My urine is clear and/or copious.

My mucous is white or clear.