Scribd Logo
Upload

Welcome to Scribd!

  • 54 views

    PART 1: Profile of The Respondents

    Uploaded by

    Eagle Kriz Echanez Capz
    This survey questionnaire aims to determine the factors affecting malnutrition among grade 2 to 6 pupils in M. Cuaderno Elementary School. It collects information on the pupils' demographics, hygiene habits, diet, parents' demographics, awareness of public health programs, family size, and whether any family members are malnourished. The questionnaire instructs respondents to check boxes corresponding to their answers for various multiple choice and descriptive questions. It assures confidentiality of responses and thanks participants for their consideration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    PART 1: Profile of The Respondents

    Uploaded by

    Eagle Kriz Echanez Capz
    54 views4 pages
    This survey questionnaire aims to determine the factors affecting malnutrition among grade 2 to 6 pupils in M. Cuaderno Elementary School. It collects information on the pupils' demographics, hygiene habits, diet, parents' demographics, awareness of public health programs, family size, and whether any family members are malnourished. The questionnaire instructs respondents to check boxes corresponding to their answers for various multiple choice and descriptive questions. It assures confidentiality of responses and thanks participants for their consideration.

    Original Title

    73249973 Survey Questionnaire

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This survey questionnaire aims to determine the factors affecting malnutrition among grade 2 to 6 pupils in M. Cuaderno Elementary School. It collects information on the pupils' demographics, hygiene habits, diet, parents' demographics, awareness of public health programs, family size, and whether any family members are malnourished. The questionnaire instructs respondents to check boxes corresponding to their answers for various multiple choice and descriptive questions. It assures confidentiality of responses and thanks participants for their consideration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    54 views4 pages

    PART 1: Profile of The Respondents

    Uploaded by

    Eagle Kriz Echanez Capz
    This survey questionnaire aims to determine the factors affecting malnutrition among grade 2 to 6 pupils in M. Cuaderno Elementary School. It collects information on the pupils' demographics, hygiene habits, diet, parents' demographics, awareness of public health programs, family size, and whether any family members are malnourished. The questionnaire instructs respondents to check boxes corresponding to their answers for various multiple choice and descriptive questions. It assures confidentiality of responses and thanks participants for their consideration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 4

    Survey-Questionnaire for Research Study Entitled “Factors Affecting Malnutrition

    Among from Grade 2 to 6 Pupils in M. Cuaderno Elementary School in Sibacan Balanga City,
    Bataan, School year 2010 to 2011

    SURVEY QUESTIONNAIRE

    To all respondents:

    This questionnaire aims to determine the factors that may affect the Malnutrition among
    Grade 2 to 6 Pupils in M. Cuaderno Elementary School in Sibacan Balanga City, Bataan.

    Please fill the necessary data with honesty for the completion of the study. Rest assured
    that you answers will be treated with strict confidentiality.

    Thank you very much for your consideration.

    BPSU 3rd Year Nursing Students

    Researcher

    Direction: Answer the following questions whenever applicable. Put a


    check in the box that corresponds to your answer.

    PART 1: Profile of the Respondents

    Name (optional)________________________________________________

    Age

    6-8 years old

    8-10 years old

    10-12 years old

    12-14 years old

    Gender

    Male

    Female
    Hygiene

    Takes a bath

    Always

    Often

    Sometimes

    Seldom

    Never

    Others (Please Specify):__________

    Brushes Teeth

    Always

    Often

    Sometimes

    Seldom

    Never

    Others (Please Specify):__________

    Washes Hands

    Always

    Often

    Sometimes

    Seldom

    Never

    Others (Please Specify):__________


    Diet

    I eat variety of foods like meat, fish, vegetables and fruits

    I love eating junk foods and candies. Everyday that’s part of my snacks.

    I don’t eat vegetables

    I prefer vegetables like Jollibee and McDonalds.

    I drink 8 glasses of water a day.

    I am having my meals three times a day

    Others (Please Specify):________________________________________

    PART 1: Profile of the Parents

    Age

    18-25 years old

    26-30 years old

    31-35 years old

    36-40 years old

    Others (Please Specify): ____________________________________________

    PART III: Awareness in Public Health Programs

    Are you aware of the health programs in your school and barangay?

    Yes

    No

    If yes, what Health Programs have you participated? Please Specify.

    __________________________________________________________________

    PART IV: Factors contributing to malnutrition of children

    How many members do you have in your family?

    2-4 members

    5-7 members
    8-10

    Others (Please Specify): _________________________________________

    Anybody in the family that is malnourished?

    Mother

    Father

    Sister

    Brother

    Grand Mother

    Grand Father

    Others (Please Specify): _______________________________________________

    You might also like

    pFad - Phonifier reborn

    Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

    Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


    Alternative Proxies:

    Alternative Proxy

    pFad Proxy

    pFad v3 Proxy

    pFad v4 Proxy