Questionnaire - 问卷调查调研模板

:The knowledge and attitudes of New Zealand young women towards healthy eating habits.

Q1:How old are you ? _________

填空1

Q2:Do you think you eat healthy?

Yes

No

Not sure

Q3:How many meals do you eat everyday?

1-2

3

4

5

More

Q4:Which of the following meals would you consider your big meal of the day?

Breakfast

Lunch

Dinner

Other

Q5:Do you snack in between your big meals?

Yes

Sometimes

No

Q6:Do you eat according to a schedule every day?

Usually not

Occasionally

Always

Q7:Do you eat breakfast every day?

No, I do not eat breakfast

I only eat breakfast sometimes (once or twice a week)

Yes, I eat breakfast every day

Q8:Do you think skipping meal will have an impact on your health?

It is not good for health

It is ok to skip meals

I don’t know

Q9:Do you wake up in the middle of the night to eat, or do you eat at night because you cant sleep?

Yes

No

Q10:What are your daily eating habits?

Nutritional balance

Just for survive

I try to eat health sometimes

Eat whatever I like

Q11:For unhealthy but convenient food, such as fast food, I_____

Eat as usual

Rarely eat

Never eat

Q12:What are the characteristics of your diet?

Light

High protien based

Pungent

Carbohydrate based

Mainly vegetables and grains

Vegetarian

Vegan

Meat-based

Other

Q13:What do you think is a reasonable and healthy eating habit?

Eat more meals but smaller protion

Eating breakfast everyday

Including more vegetables each meal

Meat and vegetable balanced meal

Eating well portioned meals

Eating less spicy and greasy food

Other

Q14:Do you drink plenty of fluids at regular intervals during the day?

No, I rarely drink water

Somedays I drink enough water

I always drink enough water every day

Q15:Do you regularly drink sweet fizzy drinks?

Yes

No

Q16:Do you watch out for healthy nutrition?

Never

Rarely

Occasionally

Usually

Q17:What do you think is the reason can lead to the bad eating habits?

Desperate to lose weight

Save time and simper meal

Eat whatever you like

Do not understand the importance of diet

Q18:When you are anxious, depressed, angry, or bored, do you eat?

Never

Rarely

Occasionally

Usually

Q19:Do you think healthy eating habits are important?

Very important

Important

Not importance

Never thought about it

Q20:Do you do exercise everyday?

Yes, almost everyday

Some Days I exercise (once or twice a week)

No, I do not do any exercise

Q21:Where do you usually get healthy diet knowledge from?

From relevant books

TV

Internet and social media

Others

Q22:If you do not have healthy diet habits now, what do you think the reason will be?

Lack of relevant nutrition knowledge

Used to choosing food according to taste

Economic constraints

other