I'd like a moment of your time to help fill in my questionnaire about fast food for my school project. Just copy and paste and fill in the appropriate spaces. If you're not comfortable with answering the questions publicly, you could pm me the results. Your help would be greatly appreciated.
Please fill in the appropriate spaces. Some questions may have more than one answer.
1) How old are you?
( ) >10
( ) 11-20
( ) 21-30
( ) 31-40
( ) 41-50
( ) 51-60
( ) 61+
2) How would you describe your body type?
( ) Underweight
( ) Average
( ) Athletic
( ) Slightly overweight
( ) Obese
3) How often do you have fast food?
( ) Never
( ) A few times a year
( ) A few time a month
( ) A few times a week
( ) Daily
If you answered “A few times a week” or “Daily” answer question 4. If not, skip to question 5.
4) Why do you eat fast food so often?
( ) Don’t have the time to cook
( ) Like the taste
( ) Convenient
( ) Cheap
( ) Other; Please state:
5) When was the last time you had a body check-up?
( ) Never
( ) Few years ago
( ) Last year
( ) Few months ago
( ) Few weeks ago
6) What health condition(s) do you have?
( ) Obesity
( ) High blood pressure
( ) High cholesterol
( ) Diabetes
( ) Heart disease
( ) Stroke
( ) Cancer
( ) Other; Please state:
If you don’t have any, skip to question 9.
7) What is the origin of your health condition(s)?
( ) Hereditary
( ) Unhealthy eating
( ) Unknown
( ) Other; Please state:
8 ) Has your health condition(s) affected your life negatively in any way?
( ) Self-esteem
( ) Relationships
( ) Performance
( ) Reputation
( ) Other; Please state:
9) Do you think fast food is bad for you?
( ) Yes; Reason:
( ) No; Reason:
10) Do you think fast food restaurants have done anything to make their food healthier?
( ) Yes
( ) No
If yes, answer question 11. If no, skip to question 11.
11) Are you satisfied with their efforts?
( ) Yes
( ) No; Reason:
If you have children answer questions 12-14. If you don’t have children, skip to questions 15-16.
12) How often do you let your children eat fast food?
( ) Never
( ) A few times a year
( ) A few time a month
( ) A few times a week
( )Daily
13) Are your children overweight?
( )Yes
( )No
If yes, answer question 14. If no, skip to question 17.
14) Have you done anything to help your children?
Yes:
( ) Exercise
( ) Diet
( ) Home cooking
( ) Less fast food
( ) Other; Please state:
No:
( )Unnecessary
( )Child help themselves
( )Other; Please state:
15) Do you think parents spoil their children with fast food?
( ) Yes
( ) No
If yes, answer question 16. If no, skip to question 17.
16) Do you think parents are harming their children this way?
( ) Yes; Reason:
( ) No; Reason:
17) Do you think the government is strict enough with the quality and the quantity of a fast food restaurant’s average nutritional value?
( ) Yes
( ) No; Reason:
18) Do you think the government is strict enough with the quality of a fast food restaurant’s hygiene?
( ) Yes
( ) No; Reason:
19) Do you think the quality of a fast food restaurant’s hygiene can affect a customer’s health?
( ) Yes; Reason:
( ) No; Reason:
Thank you for your patience and valuable opinions! Have a nice day!
Please fill in the appropriate spaces. Some questions may have more than one answer.
1) How old are you?
( ) >10
( ) 11-20
( ) 21-30
( ) 31-40
( ) 41-50
( ) 51-60
( ) 61+
2) How would you describe your body type?
( ) Underweight
( ) Average
( ) Athletic
( ) Slightly overweight
( ) Obese
3) How often do you have fast food?
( ) Never
( ) A few times a year
( ) A few time a month
( ) A few times a week
( ) Daily
If you answered “A few times a week” or “Daily” answer question 4. If not, skip to question 5.
4) Why do you eat fast food so often?
( ) Don’t have the time to cook
( ) Like the taste
( ) Convenient
( ) Cheap
( ) Other; Please state:
5) When was the last time you had a body check-up?
( ) Never
( ) Few years ago
( ) Last year
( ) Few months ago
( ) Few weeks ago
6) What health condition(s) do you have?
( ) Obesity
( ) High blood pressure
( ) High cholesterol
( ) Diabetes
( ) Heart disease
( ) Stroke
( ) Cancer
( ) Other; Please state:
If you don’t have any, skip to question 9.
7) What is the origin of your health condition(s)?
( ) Hereditary
( ) Unhealthy eating
( ) Unknown
( ) Other; Please state:
8 ) Has your health condition(s) affected your life negatively in any way?
( ) Self-esteem
( ) Relationships
( ) Performance
( ) Reputation
( ) Other; Please state:
9) Do you think fast food is bad for you?
( ) Yes; Reason:
( ) No; Reason:
10) Do you think fast food restaurants have done anything to make their food healthier?
( ) Yes
( ) No
If yes, answer question 11. If no, skip to question 11.
11) Are you satisfied with their efforts?
( ) Yes
( ) No; Reason:
If you have children answer questions 12-14. If you don’t have children, skip to questions 15-16.
12) How often do you let your children eat fast food?
( ) Never
( ) A few times a year
( ) A few time a month
( ) A few times a week
( )Daily
13) Are your children overweight?
( )Yes
( )No
If yes, answer question 14. If no, skip to question 17.
14) Have you done anything to help your children?
Yes:
( ) Exercise
( ) Diet
( ) Home cooking
( ) Less fast food
( ) Other; Please state:
No:
( )Unnecessary
( )Child help themselves
( )Other; Please state:
15) Do you think parents spoil their children with fast food?
( ) Yes
( ) No
If yes, answer question 16. If no, skip to question 17.
16) Do you think parents are harming their children this way?
( ) Yes; Reason:
( ) No; Reason:
17) Do you think the government is strict enough with the quality and the quantity of a fast food restaurant’s average nutritional value?
( ) Yes
( ) No; Reason:
18) Do you think the government is strict enough with the quality of a fast food restaurant’s hygiene?
( ) Yes
( ) No; Reason:
19) Do you think the quality of a fast food restaurant’s hygiene can affect a customer’s health?
( ) Yes; Reason:
( ) No; Reason:
Thank you for your patience and valuable opinions! Have a nice day!
