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ence ne pnt Mito Aci Pace (GPA? What is the Impact of Nutrition on Academic Performance (GPA)? ‘Goneral Personal formation * Required 1 What year of study are you currently in? Mark oly one ove. O Fete ©) Sophomore Sane O sar Putte © ooame 2. What Is your gender? * Mark enty om ov O Ne O Fema OS ote Prete not to answer 3. What is your current age? * 4. What is your GPA? * ‘Answer with your vera, o date! GPA Section2 ‘Specie Nutitonal Information '5.How many meals do you eat per day? * 6. How many ounces of caffeine do you drink per Example: A grande size dink rom Starbucks is 12 psc goog ooo ZA80Ch W-ncROQAFWAVTHBNVWAZDAentet sewers at the gat Nien on adem Paremare (GPA 7. What type of food do you oat most often? * Mark oly one oval O Fasttood O Resturant too O Home cooked meats O Prctaged fot 2. How many tems containing refined suger do you eat perday? = eam: Ora candy har ine (1) am Bi ooge Forms sto go como iT2505A AD waa hF2WTAbrtI7Zbep se

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