EATING HABIT WITH OBESITY
Sign in to Google to save your progress. Learn more
SECTION A
BACKGROUND INFORMATION
Which IPTA/IPTS are you from? *
Faculty? *
What is your age? *
What is your gender? *
What is your race? *
What is your weight? in kg *
What is your height? in cm *
What is your BMI?
Clear selection
SECTION B
STUDY SURVEY
Do you take your meals regularly?
Clear selection
Do you take breakfast?
Clear selection
How many times do you eat meals except snacks?
Clear selection
How often do you take snacks apart from regular meals?
Clear selection
How often do you eat green, red or yellow colored vegetables?
Clear selection
How often do you eat fruit?
Clear selection
How often do you eat fried food?
Clear selection
How often do you eat with friends and family?
Clear selection
What type of food do you think you should eat to have a balanced nutrition?
Clear selection
How often do you drink alcohol?
Clear selection
Please state your smoking history
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This content is neither created nor endorsed by Google.