Sugary Drink Habits Survey Template

A drink choice can reflect taste, price or what is easy to find. Use seven questions to understand recent habits before changing beverage options or information.

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A drink choice can reflect taste, price or what is easy to find. Use seven questions to understand recent habits before changing beverage options or information.

This sugary drink habits survey explores choices and access without calculating sugar intake. It asks about drinks with added sugar, such as regular soda, sweetened tea or coffee, energy drinks and fruit drinks. Build the questionnaire in SurveyLegend and use the responses to plan a local improvement, not to label an individual’s diet.

When to Use This Template

Use the template before reviewing beverage availability in a campus or community setting. Define the setting and invite adults who do and do not choose sugary drinks. For broader menu planning, explore the food survey templates . Keep this questionnaire focused on beverage habits, purchasing context and access to drinking water.

7 Sugary Drink Habits Survey Questions

Think about the past seven days. Here, sugary drinks means drinks with added sugar, including regular soda, sweetened tea or coffee, energy drinks and fruit drinks. Do not count diet or zero-sugar drinks, unsweetened drinks, plain milk or 100% juice in that category. Every question is optional. Do not enter health details or names.

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Explore this 7-question example at your own pace. Every question is optional.

SurveyLegend demo Question 1 of 7

Sugary Drink Habits Survey

01 On how many of the past seven days did you have at least one sugary drink as defined above?

Choose one answer, or skip this question.

02 Which sugary drinks did you have during those seven days?

Choose the options that apply, or skip this question.

03 Where did you most often get those drinks during the past seven days?

Choose one answer, or skip this question.

04 What most influenced your most recent choice of a sugary drink?

Choose one answer, or skip this question.

05 In the setting named above, how easy is it to get drinking water when you want it?

Choose one answer, or skip this question.

06 Which change to beverage options or information would you most like to see in that setting?

Choose one answer, or skip this question.

07 What should the team understand about your drink choices in this setting?

Share your answer, or skip this question.

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How to Adapt the Questionnaire

Name one campus or community setting and provide examples people recognize. Check labels before classifying local products; some versions of a drink contain added sugar and others do not. Keep the definition beside the questions in every format. Avoid leading questions that praise or shame a choice. Do not add weight, diagnoses or calorie targets to a service-planning questionnaire.

When to Ask

Use a normal week if you want to understand routine choices, and note if the week includes a holiday, exam period or unusual event. Ask before committing to a beverage change. A later follow-up should use the same definition and recall period, while documenting any change in the group invited.

How to Use the Responses

Report the distribution of days with at least one sugary drink, not an average number of drinks. Question 2 permits multiple answers, so percentages may exceed 100%. Read recent-choice reasons alongside water access and the requested change. A low water-access rating suggests checking actual facilities; it does not establish water quality. These self-reports do not measure grams of sugar, diagnose a condition or represent everyone in the community. Choose a feasible change and evaluate its use separately.

What the Research Adds

Block and colleagues (2013) held 12 focus groups with 90 students at six U.S. colleges. Their abstract concludes that “taste and price were the most important factors” in beverage choice. This supports asking about practical reasons and purchase settings instead of assuming nutrition information alone explains decisions. The qualitative study does not provide population rates or prove a particular local intervention will work. Read the beverage choice study .

Frequently asked questions

Does this measure daily sugar intake?

No. It records days on which a respondent had a sugary drink and the context of those choices. It does not collect the quantities needed to estimate grams of sugar.

Why define sugary drinks at the start?

Product names can be ambiguous. The shared definition helps people distinguish added-sugar drinks from excluded categories when recalling the week.

Can adults who had no sugary drinks answer?

Yes. They can select the no-use options and still describe water access or changes they would like in the setting.

Printable Sugary Drink Habits Survey

Repeat the full beverage definition above seven optional questions. Use squares for Question 2, circles for Questions 1 and3–6, and lines for Question 7. Include no calorie table, sugar conversion, weight field or health score. Paper responses need separate review or manual entry; they are not automatically added to online results.

First page of the printable Sugary Drink Habits Survey Template with questions and answer spaces
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AI Prompt: Sugary Drink Habits Survey

Copy this sugary drink habits survey prompt into an AI assistant to prepare the questionnaire. Review the result, then build and customize it in SurveyLegend. It does not automatically create or transfer a survey.

Sugary Drink Habits Survey Prompt

Copy the prompt into an AI assistant to draft the questions, then build your survey in SurveyLegend.

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