Please take a moment to complete this survey to let us

know your daily and weekly diet. Your response will be

kept strictly confidential by us. What you have to say is
very important to us. Your opinion counts. Please respond
today. Thank you for taking the time to consider our
questionnaire.
GENDER

AGE

FACULTY

SEMESTER

Please read this carefully

We would like to ask you about some foods which you may eat and yours eating habit. Please
answer ALL the questions by ticking ( / ) in the box which you think most applies to you.

1. What kind of special diet do you consume?

Vitamin

Supplement

Regularity
Per Day

Milk

No Special Diet

Other

2. During breakfast, what kind of food do you take?

Cereals

Porridge

Oat

No Breakfast

Others

3. About how many pieces of whole meal bread / rolls do you eat on a usual day?
None

4. How often on average do you eat a serving of beef, pork or lamb?

Regularity
Per Week

5. How often on average do you eat a serving of any fried food including fried fish or chicken,
chips, cooked breakfast or samosa?
Regularity
Per Week

6. How often on average do you eat a serving of fruit, including fresh, tinned or frozen?
Regularity
Per Week

7. On a usual day, do you (tick one box)

Generally add salt to your food without testing it first
Taste the food, but then generally add salt
Taste the food , but only occasionally add salt
Rarely or never add salt
8. How often on average do you eat sweet or savory snacks such as chocolate, crisps, nuts or
biscuits?
Regularity
Per Week

9. Excluding chips, how often on average do you eat a serving of potatoes, yams, sweet
potatoes?
Regularity
Per Week

10. Which type of water did you drink most often in the last 7 days?
Tap

Filtered

Boiled

Bottled

11. How much creamy milk, sugar, and honey do you usually have in your drink?
A Lot

Some

A Little

None

12. How often on average do you eat a serving of cakes, pies, puddings, pastries or sweets?
Regularity
Per Week

13. How often on average do you eat a serving of pasta, rice, or starch?
Regularity
Per Week

14. How many glasses of water do you drink in a day?

Regularity
Per Day