Questionnaire sample We are a group of university students doing a research on the eating habit of university students to help understand more about their level of health. This questionnaire will take you approximately 3 to 4 minutes. Please kindly answer the questions below. Thank you! 1. What is your gender? Male□ (42%) Female□ (58%) 2. Do you live in hostels? YES□ NO□ 3. Do you have the habit of eating breakfast?(if no, skip to Q6) YES□ (75%) NO □ (25%) 4. How often do you eat breakfast in a week? Sometimes (once to twice) □ (24%) Frequently (three to five times) □ (62%) Always (six to seven times) □ (14%) 5. What do you usually eat at breakfast? (you can take more than one choice) Bread, oatmeal,etc□ (42%) Salad□ (8%) Noodles □ (37%) Fried food□ (7%) Others□ (6%) 6. Do you have the habit of eating food at midnight? (If No, go to Question 8) Yes □ (33%) NO□ (67%) 7. How often do you eat food at midnight by week? Every day □ (10%) Five to Six Times □ (25%) Three to four times □ (38%) Once to twice □ (27%)
8. What kind of food will you prefer when you are hungry? (Rank the following with 1 as the highest priority and 4 as the lowest.) Carbohydrated food (such as rice, noodles) □ (23%) Vegetables and fruits □ (25%) Meat □ (12%) Snacks (Candies, Chips) □ (40%) 9. How many cups of plain water do you drink in a day? More than 8 cups □ (15%) 7 - 8 cups □ (42%) 5 - 6 cups □ (35%) 3 - 4 cups □ (8%) less than 2 cups □ (0%)
10. How many vegetables do you eat in a day?
More than 2 bowls □ (25%) About 1 bowl □ (48%) About half bowl □(20%) Less than half bowl □ (7%)
11. How many fruits do you eat in a week? More than 7 or 7 cups □ (20%) 5-6 cups □ (25%) 3-4 cups □ (32%) 1-2 cups □ (18%) less than 1 cup □