SEX- biological sex

NO. OF SIBLINGS – siblings only

WEIGHT – in KG
HEIGHT – in CM
AGE OF MOTHER- age of last birthday
USUAL DAILY ALLOWANCE
USUAL DAILY FOOD EXPENDITURE
ATTACHMENT B: STUDENT INFORMATION SHEET

Instruction to the Students: Please provide completely the following information. Your teacher and
the surveyors are available to respond to your queries regarding the items in this information sheet, if
you have any. Rest assured that the information that you will be providing will only be used in our
lessons in Statistics & Probability. Please mind your own papers. 

1. BIRTH NAME (PRINTED): ___________________________________________________________

Surname First Name Middle Name

2. SEX (Put a check mark √): ____Male ____Female 3. NUMBER OF SIBLINGS: ________

4. WEIGHT (in kilograms): _______________ 5. HEIGHT in (centimeters): _________

6. AGE OF MOTHER (as of her last birthday in years): _____________

(If mother deceased, provide age if she was alive)

7. USUAL DAILY ALLOWANCE IN SCHOOL (in pesos): _______________

8. USUAL DAILY FOOD EXPENDITURE IN SCHOOL (in pesos): _____________

9. USUAL NUMBER OF POSTS ON FACEBOOK DAILY: _________________

10. MOST PREFERRED COLOR (Put a check mark √. Choose only one):

____WHITE ____RED ____PINK ____ORANGE ____YELLOW ____GREEN

____BLUE ____PEACH ____BROWN ____GRAY ____BLACK ____PURPLE

11. USUAL SLEEPING TIME (Army Time; on weekdays): ______________

12. HAPPINESS INDEX FOR THE DAY; on a scale from 1 (very unhappy) to 10 (very happy), how do

you feel today? ____________________