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Name: Age: Gender: Male Female Occupation
Name: Age: Gender: Male Female Occupation
Name: Age: Gender: Male Female Occupation
Age:
Female
Occupation:
1. Do you think todays trends contribute toward obesity which is caused by fast
food restraints?
a. Yes, today lifestyle choices on fast food are impacting on the trend towards today
obesity rate
b. No, it doesnt contribute in the impact on today obesity rate.
c. It does contribute to today obesity rate but there are other lifestyle choices that also
have contributed to it.
2. Which fast-food services do you use (if any)?
a) Kebab
b) Sandwiches
c) Hotdog
d) Pizza
e) Hamburger
f) Fish & Chips
g) Other (Chinese, Indian, Italian)
h) None
3. How often do you eat fast food?
a. Once a week
c. Never
b. Everyday
d. Not so often
10. Do you purchase healthy food choices from fast food restaurants?
a. Depends on where you are eating at.
b. Yes, I always look for the healthy choices
c. No, I order what I like not what is best for me.
11. Do you think you eat more or less when youre eating fast foodcompared to a home
cooked meal?
.
12 . What else do you buy when purchasing fast food?
a. carbonated (fizzy) drinks
b. coffee, tea
c. Other
13 . How much are you prepared to pay for fast-food?
a. Less than 100 rp
b. Between 100 -500 rp
c. Over
500 rp
14. Which fast food restaurant would you rather go for?
a. Mc Donalds
b. KFC
c. Pizza Hut
d. Other please specific
15. What do u think does fast food heathy for us?