ub0203 questionnaire
Post on 16-Jul-2015
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Questionnaire for UB-0203: Would the eating lifestyles in Brunei Darussalam
affect the obesity rate among local Bruneians in terms of different variety of
food given?
1. Does weight issue weigh you down?
Yes No A bit what?
2. Are jogging spots, gymnasium, stadium or any other place for exercises readily accessible in
your vicinity?
Yes No I do not bother about my weight
3. I eat whatever and whenever I want.
Yes No Depends
4. I watch my food intake carefully and strive to be healthy at all times.
Yes No Sometimes
5. I tend to eat junk food when I’m down.
Yes No Sometimes
6. Do you eat supper?
Yes No Sometimes
7. During your intake, would you have more than 60% of your food to be meat?
Yes No Sometimes
8. How many times do you eat fast food per week?
1 time 2-3 3-4 Never Less than 1
9. Do you eat nasi katok regularly?
Yes No Sometimes
10. How do you find the local foods in Brunei?
10.1 Healthy Unhealthy No idea
10.2 Oily It’s among average No idea
Questionnaire for UB-0203: Would the eating lifestyles in Brunei Darussalam
affect the obesity rate among local Bruneians in terms of different variety of
food given?
Personal Details
1. What is your age?
Below 15 18-25 30-50 So on
2. Do you or your family members have any obesity related problems?
Yes No We are healthy Not quite sure
3. Do you check-up regularly?
Yes No 3 times a year
4. Is your weight disproportionately than your height?
Yes No No idea
5. Is your BMI (Body Mass Intake) > 25?
Yes No No idea
6. How frequently do you eat?
Twice a day 3 times a day More than 3
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