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QUESTIONNAIRE

This questionnaire is intended to assess students knowledge, attitude, and practices towards overweight
and obesity. All information that will be provided will be confidential and limited to academic purposes
only.

I. DEMOGRAPHIC DATA

Name: _____________________________________ Age: ___________________________


Civil Status: _________________________________ Occupation: ____________________
Educational Attainment: _______________________

II. KNOWLEDGE
INSTRUCTIONS: Indicate whether the following statements are TRUE or FALSE about overweight
and obesity

A. Definition
STATEMENT TRUE FALSE
1. Overweight or obese person is malnourished.
2. Overweight or obese person is healthy.
3. Overweight or obese person is overnourished.
4. Overweight and obese persons BMI are >25 and >30, respectively.

B. Risk Factors
THE FOLLOWING CAN PUT A PERSON AT RISK OF BECOMING
TRUE FALSE
OVERWEIGHT OR OBESE:
1. lack of physical activity
2. not enough sleep
3. consumption of food high in calories, sugar, salt and fat
4. eating fast food often
5. fond of eating junkfood
6. drinking water

C. Consequences
THE FOLLOWING ARE CONSEQUENCES OF OVERWEIGHT OR
TRUE FALSE
OBESITY:
1. Diabetes mellitus
2. Hypertension
3. Hyperlipidemia
4. Coronary artery disease
5. Gallstones
6. Endometrial and breast cancer
7. Knee Osteoarthritis
III. ATTITUDE
INSTRUCTIONS: Below are a number of statements regarding attitude towards overweight and
obesity including lifestyle modifications, perceptions, and solutions. Please read each one and
indicate to what extent you agree or disagree with each statement. Indicate by putting a check
whether you agree or disagree with the following statements. DO NOT LEAVE A BLANK ITEM.

Strongly Strongly
Neutral
Statement Disagree Agree
(0)
(1) (2)
1. An overweight or obese is healthy as long as he is not sick.
2. Overweight and obese should not eat three times a day to avoid
gaining weight.
3. Overweight and obese person are lazy.
4. Overweight and obese should be referred to health center for
counseling.
5. Overweight or obese person doesnt care as much about their
appearance as anyone else.
6. Overweight or obese person can lose weight if they tried.
7. Overweight or obese person would be less likely to get promoted
in a job.
8. Overweight or obese person are more likely to have heart
disease, high blood pressure and diabetes.
9.People who are overweight or obese have put on weight because
they eat too much
10. People who are overweight or obese have put on weight
because they exercise too little
11. For overweight and obese person, eating a healthier diet than
doing more physical activity is more important to lose weight.
12. Healthy food is too expensive.
13. It is difficult for many overweight and obese people to find time
to exercise.
14. Overweight and obese tend to spend too much time sitting
down.
15. People lack time to make and prepare healthy meals
16. Overweight and obese people are responsible of what theyve
become.
17. Family members are the reason why a person became
overweight or obese.
18. To encourage healthier lifestyle, putting a tax on high fat and
high sugar foods is reasonable.
19. Overweight or obese person are not preferred to become a
model.
IV. PRACTICES
INSTRUCTIONS: Write if the statement is applicable to you and if not.

ANSWER
Perceptions
I like being with an overweight and obese person.
For me, being overweight or obese doesnt really matter. I accept them.
I judged overweight and obese person.
I dont like to have an overweight/obese leader or boss.
I dont follow advices from an overweight/obese person.
Eating behavior
I would allow an overweight/obese person to consume leftovers so that food wont be
wasted.
I would offer food to an overweight/obese even when they are not hungry.
I warn overweight/obese person to avoid soft drinks.
I tell overweight/obese person to restrict their diet to low carbohydrate and low fat diet.
I discourage overweight/obese person to eat cakes, pastries and desserts.
Physical Activities
I advise overweight/obese person to engage in physical activities or exercise regularly.
I suggest doing household chores as a form of exercise.
I recommend doing zumba exercises to overweight/obese person.
I advise overweight/obese person to decrease hours of watching TV or sitting down.
Control and Preventive measures
I remind overweight/obese person to monitor their weight.
I share to overweight/obese person the possibility of having heart diseases due to their
health status.
I encourage overweight/obese person to participate in seminars and lectures about
overnutrition.

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