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Villager’s Questionnaire

1. Gender
Male Female

2. Age
13– 16 17- 19
20- 30 older

3. Ethnicity
East Indian Amerindian
African Chinese
Mixed

4. Religion
Christian Hindu
Muslim

5. State your occupation?

6. State five meals that you the villager would prepare for breakfast.
7. State five meals that you the villager would prepare for lunch.

8. State five meals that you the villager would prepare for dinner.

9. Do know you that your eating habits are healthy enough?’

Yes No

10.Are you suffering from any of these types of illnesses?


Hypertension Malnutrition
Obesity Diabetes

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