ANGLO-CHINESE SCHOOL (INDEPENDENT)

英 华 中 学

SURVEY- HOW AWARE ARE PEOPLE OF THE HEALTH HABITS THAT WILL KEEP
THEIR BODY SYSTEMS HEALTHY

Dear Survey-taker

Firstly, we would like to thank you for kindly taking time off to assist us. We greatly
appreciate it. We would respect your privacy and would like to assure you that all information,
particulars and responses would be kept in strictest confidence and be used solely for the
purpose of the results analysis.

We are conducting a survey on the topic, 'how aware are people of the health habits
that will keep their body systems healthy?' We have some questions below on your diet habits,
your everyday habits and your knowledge of the health habits which would keep your body
systems healthy. We hope that you would not be offended by any of the questions set.

We have prepared 7 main topic questions in this survey, although the survey itself
consists of a total of 19 questions. Please read each of the questions carefully and try to answer
as many as possible. A number of questions in this survey are questions with specific correct
answers, and they are made in this way to test your knowledge on good health habits.

Upon completing this survey, please send the completed survey to

"qaert_pluv@hotmail.com", or contact the same via MSN messenger for the results to be
compiled and collated. 'Answers' to those questions with specific correct answers may be given
upon special request.
 Anglo-Chinese School (Independent)
英华中学
Survey - How Aware are People of Health Habits that will Keep their Body Systems Healthy?

Age: Gender: Occupation:

年龄 性别 职业

1. Rate from 1 - 10 how much exercise you miss due to your work.

1 2 3 4 5 6 7 8 9 10
Miss none Miss a lot

2. Would you honestly say that you eat your fruits regularly?

Yes

No

2a. How do you eat your fruits? (Whole or cut, taken with what, or any details)

2b. How long do you usually wait after cutting your fruits before consuming them?

I don’t cut my fruits

0 - 15 minutes

15 - 45 minutes

Above 45 minutes
 2c. How many of these fruits do you take regularly?
(How wide a variety of fruits do you take?)

Dragonfruit Mangosteen

Apples Banana

Pears Rambutan

Grapes Lychee

Orange Longan

Kiwi Mango

Pineapple Papaya

3. Out of the few choices in each row, tick the one you think is the most healthy

a) Brown rice White rice Cargo rice

b) White bread Wholemeal Bread Softmeal Bread

c) 'Twix' Cereal Muesli Cereals 'Gold' Cereal

d) Red Meats White Meats

e) Fresh Goat Milk Soy Milk Fresh Cow Milk

4. In your opinion, what is the best time for dinner?

Before 5:30pm

5:30 - 6:30pm

6:30 - 7:30pm

7:30 - 8:30pm

After 8:30pm

5. Do you generally know what the common ailment, IBS (Irritable Bowel Syndrome) is?

Yes
 No

Please rate from 1 to 10, how well you do know about IBS.

1 2 3 4 5 6 7 8 9 10
know nothing know everything

5a. Which few of these choices do you think are the typical symtoms of IBS?

Indigestion Muscle Cramps

Constipation Fainting Spells

Diarrhoea Bloating of Abdomen

Abdominal Aches Chest Pains

5b. What are the foods most likely to relieve IBS?

Preservertives Soy milk

Seafood Burgers

Caffeine Fresh Fruits

Potatoes White Meat

White Rice Steak

Alcohol Dairy Products

6.Please check the boxes beside the statements which applies to you

Statement Often Sometimes Seldom Never

1 You take vitamins and/or supplements

2 You take mineral and/or distilled water

instead of tap water

3 You take Panadol or other painkillers to

 treat most ailments

4 You eat fried/oily food

5 You smoke, or use tobacco-related products

6 You drink alcohol

7 You suffer from headaches

8 You avoid vegetables when you can

9 You ingest a large amount of caffeine

6a. Are you aware of the effects of the above actions (both positive and negative)?

Yes

Some

No

7. What is your reason for exercising?

Because I'm made to

Because I want to keep fit

Because I want to lose weight. I would probably stop after losing enough

Others (Please specify) :

I don’t exercise

7a. If you exercise, describe the exercise you when you do workout. Include what
kind of exercise it is and how you go about doing it.

Thank you for your help and time

Yours Sincerely:
Tham Ming Yang
Tan Aik Leng

Anglo Chinese School (Independent)

Class 1.11

ONCE AGAIN, WE ASSURE YOU THAT ALL INFORMATION, RESPONSES AND

PARTICULARS WOULD BE KEPT CONFIDENTIAL
Systems Healthy?
CANDIDATES

NUMBERS GENDER AGE NAME (IF APPLICABLE)

1
2
3
4
5
OCCUPATION