Cover Letter

New Amsterdam Multilateral Secondary School,

05 Cummings Ville,

New Amsterdam,

Berbice,

14th February,2020.

Dear Students,

This is a survey being carried out in the New Amsterdam Multilateral Secondary School

(NAMS) to determine whether the diet and nutrition of students in the grade eleven (11) influences their ability

to perform well or perform better. This study is being conducted as a School Based Assessment (SBA) for the

Social Studies subject. This questionnaire consists of various qualitative questions and terms involving diet and

nutrition. You are required to carefully read and answer ALL questions with honesty by indicating a tick in

ONE of the boxes provided “ ” with the best suited answer next to it for each question. Where there is a line

provided, you must write your answer if none of the answers provided is of your choice. The information

received is solely for the purpose of the assignment and we will remain confidential.

Thank you.

Yours Sincerely,

.............................

(S.S SBA group 1)

 Questionnaire
1. Sex:

Male Female Other

*
2. How old are you?

11– 12 years 13-14 years 15-16 years v 17 years and older

*
3. What is your Ethnicity?

East Indian African Mixed Other

*
4. What is your weight?

50- 100 lbs * 100-150 lbs 150-200 lbs 200 lbs and above

5. Do you consume healthy nutritious foods?

Yes No
*
6. Do you think that what you eat affects your academic performance in school?

Yes No
*
If yes please state how: _your diet helps your focus the better you eat the better you can function

properly.

7. What nutrients does your diet consist of?

Mostly Carbohydrates and fats

Mostly Protein

Mostly vitamins and minerals

All of the above

*
8. How often do you consume a balance diet?

Once a week *
4-5 times per week

2-3 times per week more than 6 times per week

9. How much glasses of water do you consume daily?

1-2 glasses a day

3-4 glasses a day

*
 5-6 glasses a day

7 and more glasses a day

10. Do you suffer from any nutritional diseases?

Yes No
*
If yes, please state the name: ____________________.

11. How often do you consume junk food?

Once a week 2 times a week

3 times a week More than 3 time a week

*

12. What kind of food does your school canteen provide?

Staple foods (rice, meat, etc) Fruits and Vegetables

Fast food All of the above

*

13. How often do you consume sodas?

Never * Once a day

Twice a day 3 and more times a day

14. Why do you think eating a balance is important?

To have a healthy body weight

You will have plenty of energy to be active

You will have strong bones and teeth

All of the above

*
15. How often do you exercise?

Never

Once a week

2-3 times a week

*
 More than 4 times a week

16. How much hours of sleep do you receive daily?

Below 4 hours 5-6 hours 7-8 hours 9 hours and more

*
17. How often do you study?

Never 1-3 times a week 4-5 times per week more than 6 times a week
* *
18. What was your percentage the last time you wrote exams?

Below 60% 60-75% 75-90% 90% and Above

*
19. What do you think can be done for students to become aware of the importance of eating healthy foods?

Public lectures based on healthy eating. Seminar and practical

Radio and Television programmes based on healthy eating

Printing and distribution of brochures and leaflets based on health eating.

Formation of food and healthy eating clubs in schools and the community.

Hosting of Food fairs and Exhibitions

*