Questionnaire.

Gender : Male

Female

Weight : Underweight

Normal

Overweight

Obese

Scale : 5 = Always, 4 = Often, 3 = Sometimes, 2 = Seldom, 1 = Not at all

Questionnaire 5 4 3 2 1
1. How often do you eat vegetables and fruits in your daily
life?
2. How often do you exercise?

3. How often do you take your breakfast?

4. How often do you take junk food / fast food?

5. Do your body weight always maintain?

6. Do you get enough sleep of 8 hours every day?

7. Do you always feel stressful?

8. Do you take vitamins?

9. Do you follow food pyramids?

10. How many soft sugary drinks do you consume each

week?
Disscussion / Analyzing

Maintain Healthy Lifestyle

Always
10%

Often
10%

Not at all Sometimes

50% 10%

Seldom
20%

Always Often Sometimes Seldom Not at all