Do IES Doñana students live healthily?

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please, read these instructions carefully before using this App:
1) You must answer all the questions because all of them are required. If not, you will not be able to send the form.
2) This form registers the individual answers.
3) Your form will be sent correctly when you receive the message "Your form was successfully sent! Your response has been recorder. Thanks!"

Interviewer Pair Number *

Sample Group: LEVEL *

(Select the level of the surveyed group from the list)

Sample Group: LETTER/S *

(Select the letter/s of the surveyed group from the list)

SEX *

Male

Female

Height *

(Express the height in "cm" without decimal points or commas)

Weight *

(in "kg" without decimal points or commas)

QUESTION 1: Do you regularly practice sport or physical activity? *

YES

QUESTION 2: Do you drink alcohol at weekends? *

YES

QUESTION 3: Do you smoke? *

YES

QUESTION 4: In your break, do you eat healthy snacks or fruit? *

YES

QUESTION 5: Which is the appropriate ratio of carbohydrates, proteins and lipids of a balanced diet? *

A: 55% lipids, 30% carbohydrates, 15% proteins

B: 55% proteins, 30% carbohydrates, 15% lipids

C: 55% carbohydrates, 30% lipids, 15% proteins

QUESTION 6: Do you eat a varied diet (vegetables, legumes, meat, fish, eggs, pasta, fruit, dairy products….)? *

YES

QUESTION 7: Do you sleep for at least 8 hours each day? *

YES

QUESTION 8: During the week, do you watch television, use social networking sites, or play games for more than 2 hours a day? *

YES

QUESTION 9: Name three alimentary diseases. *

QUESTION 10: Your BMI is: *

(You must calculate and inform the interviewee of its quantity)

BMI < 20, underweight

20 < BMI < 25, normal

BMI > 25, overweight

Full names of the components of the interviewer pair. *

(Help us to verify you are one of our students)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms