TOPIC : TO WHAT EXTENT IS INSTANT NOODLES NOT SAFE TO BE EATEN Age : ___20____ Gender :

Male

Female

Course : ________________________________________________ Fathers occupation :

X

Government

Non-government

Others _______________ Mothers occupation : Government

X

Non-government

Others _______________ Survey Questions 1) Do you like to eat instant food ?

X

Yes

No

If yes, proceed to question 2. 2) What brand of instant noodles do you always choose ?
X

Maggie

Indomie

Pama

Ruski

Others

3) Based on your answer above, give reason to your choice Because of the taste and advertisement________________________________________ Questions 4 10. Please indicate the level of agreement with each statement by ticking ( ) the appropriate column. 3 Agree 4 Strongly agree 1 Strongly disagree 2 Disagree

1 I eat instant noodles everyday. I choose instant noodles rather than home-cooked food because it is easy to prepare. I do not like to eat instant noodles because they contain a lot of chemicals.

I am addicted to instant noodles. I only eat instant noodles once a month when I have no other food to eat. I choose instant food to save cooking time. My family also like to take instant noodles.

11) What do you feel after consume instant noodles ? a. Healthy b. Dizzy c. Weak d. Nausea e. Nohing happen 12) Please tick ( ____ Taste _____ Cheap price _____ Companys name __ _ Product brand ) the following criteria you use when buying instant noodles.

13) What type of serving dish do you always choose ?

x

Packet

Cup

Bowl

14) What quantity in one serving do you always eat ? a. One packet / cup b. Two packets / cups c. Half packet / cup d. Three and above packets / cups

15) Suggest ways to discourage people from eating instant noodles. _Advertise the disadvantages and bad things that can we get by eating instant noodles._______________________________________________________
2