Survey On Health

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Survey on Health

Name : Academic group : Age : Gender :


Tick ( ) your answer. 1. Do you think you practice a balanced diet in your routine life. ( ) Yes ( ) No ( ) Not sure 2. Do you take your breakfast every day? ( ) Yes ( ) No ( ) Not sure 3. Do you exercise regularly to keep your body healthy? ( ) Yes ( ) No ( ) Not sure 4. Do you read the nutrition fact on the pack before you buy any product from the market? ( ) Yes ( ) No ( ) Not sure 5. Do you like to eat junk food? ( ) Yes ( ) No ( ) Not sure 6. Do you take vegetables in your daily meals? ( ) Large amount ( ) Small amount ( ) None 7. Do you aware about what you eat every day? ( ) Yes ( ) No ( ) Not sure

8. Do you eat much when you stress? ( ) Yes ( ) No ( ) Not sure 9. How frequent did you go for fast food? ( ) Once a month ( ) Every week ( ) Once a while 10.

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