NUTRITIONAL

FOOD
EXPOSCIENCE 2016

SURVEY/

AHS

1. Age: ..............
2. Class: ..............
3. Gender: Male Female
4. I frequently order:
Fish and chips
fried rice
Pizza

burgers/submarine
salads

Other
(please
state)

5. I have fast food:

On a daily basis
occasions

only on special

Whenever I crave for it

6. Do you follow a strict healthy diet?
Yes

No

7. My daily food intake includes:

1. Vegetables and legumes/beans, fruits
2. Lean meats and poultry, fish, eggs, tofu,
nuts and seeds 3.Grain (cereal) foods, mostly
wholegrain and/or high cereal 4. Fiber varieties
5. Milk, yoghurt, cheese and/or alternatives,
mostly reduced fat.

1. Sweet biscuits, cakes, desserts. 2.

Processed meats and salty sausages, savory
pastries and pies, burgers with a high fat
and/or salt content. 3. Sweetened condensed
milk, ice cream and other ice confections
confectionary and chocolate.
1. Commercially fried foods, potato chips,
crisps and other fatty and/or salty snack foods
including some savory biscuits cream. 2. Butter
and spreads which are high in saturated fats. 3.
Sugar-sweetened soft drinks and cordials,
sports and energy drinks.
Other (please specify)

Very important
important

Important

11. What is your favorite local fast food

restaurant/cafe?
Meals on wheels
Fast food
Suva dive caf

Food House

Other
(please
specify)

12. I am
Underweight
Overweight

Healthy weight

Obese
question 13)

13. State your height and weight

High activity Moderate activity

Low activity
Sedentary
9. Do you think you should reduce your current
fast food intake?
Yes No
10. What are your ideas about leading a
healthy life?

Caf 360

8. What is your physical activity level?

Not

I dont know (if so answer

Height .
Weight ...
NOTE:
All information will be kept
confidential so that your anonymity will
be protected in any research papers and
presentations that result from this study.
Thank you so much for your participation.
Your participation is very valuable to us.