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QUESTIONNAIRES

Topic : Eating habits


SECTION A
Please tick ( / ) on one answer for each question.
Gender

: (

) Male

Programme

: __________________________________

Ethnic

: (

) Malay

) Female

) Chinese

) Indian

) Others

SECTION B
1. I believe that I am
Slightly thin (

The right build

Slightly overweight

2. Are you on a diet?


Yes (

No, but I should be (

No, my weight is just fine (

3. How many meals a day do you have?


One meal

Two meals

Three meals

4. Which food class do you prefer?


Carbohydrate (

Protein (

Fibre (

5. Every day I drink


Up to 1l of liquids (

Up to 2l of liquids (

More than 2l of liquids (

6.What do you think about Malaysian eating habits?


__________________________________________________________________________________
__________________________________________________________________________________

7.What are the changes that can be done?


__________________________________________________________________________________
__________________________________________________________________________________

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