A Survey on how the Effect of Breakfast Consumption among Uitm Pulau

Pinang, Permatang Pauh branch

We are from Civil Engineering faculty, would like to request your participation in this
questionnaire, which focuses on the practice of taking breakfast among undergraduates in UiTM
Permatang Pauh, Penang. This is in accordance with our course taken in this semester, EWC661
(English for Report Writing) that required us to do some research and this questionnaire is one of
the part of the assessments of this course.

The data collected will remain anonymous and will be used for research purposes only. This
information will not be passed on to third parties.

If you agree to these terms please continue with this questionnaire, thereby showing active
consent.

PART A: BIOGRAPHY
1. What is your gender?

□ Male □ Female
2. What is your weight range?

□ <40kg □ 40kg – 50kg □ 51kg - 60kg □ 61kg – 70kg □ 70kg<

3. How often do you eat breakfast?

□ Rarely □ Once a week □ 2-3 times a week □ Every day

4. What time do you take your breakfast?

□ Before 7.00A.M.□ 7.00A.M. – 8.00A.M. □ 8.00A.M. – 9.00A.M.

□ 9.00A.M. – 10.00A.M.
5. If you do not eat breakfast, why? You can choose more than one.

□ I do not have time □ I am not hungry □ I am trying to watch my weight

□ My friends do not eat breakfast □ If others, please state. ............................
PART B: ACADEMIC EFFECT

1. Which faculty are you from?

□ Civil Engineering □ Mechanical Engineering □ Electrical Engineering

□ Chemical Engineering □ Business Management □ Hotel & Tourism
2. What is your current CGPA?

□ < 2.0 □ 2 - 2.5 □ 2.6 - 3 □ 3.1 – 3.5 □ 3.6 – 4

Put (/) on your choose.
3. Taking breakfast will increase your focus during class.
a.Strongly b. Disagree c. Neutral d. Agree e. Strongly
Disagree Agree

4. Taking breakfast will boost your energy in class.

a.Strongly b. Disagree c. Neutral d. Agree e. Strongly
Disagree Agree

5. Taking breakfast will prevent you feel sleepy in class.

a.Strongly b. Disagree c. Neutral d. Agree e. Strongly
Disagree Agree
PART C: PSYCHOLOGY
1. What do you normally eat for breakfast?

□ Bread □ Rice □ Noodle □ Oats □ Biscuit

□ If others, please state. ........................................................................................
2. How does eating breakfast help you? Choose only one.

□ Gives me energy boost to start my day

□ Helps me to pay attention in class
□ Helps me to be in a better mood
□ Keeps me from overeating
□ If others, please state. .........................................................................................
3. How do you feel when you do not eat breakfast? Coose only one.

□ I gain weight
□ I am tired and do not have energy
□ I have difficulties to pay attention in class
□ I consume large amount during lunch
□ If others, please state. ...........................................................................................
4. It is easy for you to get a breakfast everyday in the morning?

□ Yes □ No
5. Does your friends taking breakfast too?

□ Yes □ No