Dear respondent, Hope you are doing well.

I am conducting a survey on Importance of balanced diet for teenagers for the partial fulfillment of
ENG105 course. It will take few minutes of your time. Your response would be of great help in
accomplishing my research work. The information are for research purpose only and will not be
disclosed.

Research Topic: Importance of balanced diet for teenagers.

Please select/fill in your desired answer.

Email *

Gender *

Male
Female
Other:

Age *

18-20
21-23
24-26
Other:

Institution *
1. When you hear the word balanced diet, what is the first thing that comes *
into your mind.

2. Do you think balanced diet is important for teenagers? Explain your *

answer using only one sentence.

3. Who cooks your food at home? *

Father
Mother
Self
Maid
Chef
Other:

4. What items did you have for dinner yesterday? *

Fish
Meat
Lentil
Vegetables
Rice
Pizza
Burger

Nothing Other:

5. If you could only eat one food item for the rest of your life, what would it be *
and why?

6. 6. Are you following any balanced diet? If yes, where did you get it from? *

Yes
NO
 Other:

7. Does your family follow a balanced diet? *

Yes
No

8. 8. How concerned are you about your health? *

0 1 2 3 4 5 6 7 8 9 10

9. 9. Why do you think teenagers are ignorant about balanced diet? *

Due to lack of information

They are lazy to follow a balanced diet
They do not care about
it

Other:

10. 10. How can teenagers be encouraged to follow a balanced diet? *

Awareness campaigns
Reflecting the benefits of following a balanced diet
Reflecting the adverse effects of not following a balanced diet
Giving coupons/incentives/gifts if they get enrolled in a balanced diet program

Other:

11. Thank you for your valuable time. Please give your suggestions below.