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RESEARCH QUESTIONNAIRE

Directions: Read each carefully and provide information as needed.

NAME (Optional): ________________________________________________________

Course and Year Level: ____________________ Sex: __ Male __ Female

Weight before the Pandemic: _____ kilos Current Weight: _____ kilos

BMI before the Pandemic: ___________ Current BMI: ___________

I. Physical Activity Behaviors and Characteristics

Direction: Put a check under the column that best suit your experience

BEHAVIORS AND
ALWAYS MODERATE NEVER
CHARACTERISTICS
I engage in physical activities.
I do walking, jogging or
running.
I do biking or cycling.
I do weight training or home
workout.
I help with household chores.
I find it hard to do physical
activities during the quarantine.
I find it hard to engage in
physical activities during the
quarantine.
I believe that physical activity is
beneficial.
I have a detailed plan of
physical activities.
I enjoy doing physical activities.

II. Eating Habits

Direction: Put a check under the column that best suit your experience

HABITS ALWAYS MODERATE NEVER


I have a well-balanced diet that
includes fruits and vegetables.
I make sure that I always stay
hydrated.
I have a regular mealtime
schedule.
I avoid drinking coffee, soft
drinks and/or alcoholic
beverages.
I order food from fast food
chains or online.
I have snacks between meals.
I consume sweets during the
quarantine.
I still feel hungry even after a
meal or a snack.
I have an urge to eat
excessively and often have
food cravings.
I skip meals.

III. Nutritional Status

Direction: Put a check under the column that best suit your experience

NUTRITIONAL STATUS ALWAYS MODERATE NEVER


I consume healthy food during
the quarantine.
I do not pay attention to how
healthy the food is.
I feel like I have gained weight
during the quarantine.
I feel like I have gained weight
during the quarantine.
I buy/consume frozen/canned
food during quarantine.
I consume fresh food during
the quarantine.
I take multivitamins or food
supplements.
I do midnight snacking.
I often eat food rich in protein,
and other essential nutrients.
I sometimes starve myself on
purpose.

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