The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Send
Section 1 of 1
Survey 1 Obesity
Email
This form is collecting emails.Change settings
Untitled title
Loading...
Loading…
Question Type
Loading image…
1 here ne dite
2 here ne dite
3 here ne dite
4 - 5 here ne dite
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
Untitled title
Loading...
Loading…
Mobile Number
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Gjinia 
Question Type
Loading image…
1.
Femer
2.
Mashkull
3.
Add option
Answer key
(0 points)
Loading...
Loading…
Gjatesia 
Question Type
Loading image…
1.
150
2.
151
3.
152
4.
153
5.
154
6.
156
7.
157
8.
158
9.
159
10.
160
11.
161
12.
162
13.
163
14.
164
15.
165
16.
166
17.
167
18.
168
19.
169
20.
170
21.
171
22.
172
23.
173
24.
174
25.
175
26.
176
27.
178
28.
179
29.
180
30.
181
31.
182
32.
183
33.
184
34.
185
35.
186
36.
187
37.
188
38.
189
39.
190
40.
Add option
Answer key
(1 point)
Loading...
Loading…
Mosha
Question Type
Loading image…
18-24
24-30
30+
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
Pesha(Kg)
Question Type
Loading image…
Answer key
(1 point)
Loading...
Loading…
Sa here ne jave konsumoni ushqim te shpejte
Question Type
Loading image…
to
1
Label (optional)
7
Label (optional)
Answer key
(1 point)
Loading...
Loading…
A gatuani ushqim ne shtepi?
Question Type
Loading image…
Nuk kam kohe, provime te shumeta
Gatuaj rralle
Gjithmone, ralle konsumoj ushqime te shpejta
Add option
or
add "Other"
Answer key
(1 point)
Loading...
Loading…
A merreni me aktivitet fizik
Question Type
Loading image…
Po, cdo dite
Shpesh, 3 here ne bave
Ralle
Jo fare
Other…
Add option
Answer key
(1 point)
Loading...
Loading…
Link to Sheets
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
Settings
Release grades
Respondent settings
Global quiz defaults
Default question point value
Point values for every new question
points
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.