Survey

Health in international student

https://forms.office.com/Pages/ResponsePage.aspx?id=eXV_35w-fkq4REICgPU4WRBVU6J6puRGurwtFNy7IgdUM1RSWFBSNkxPMjhOUlVXN0VUOUFEN0JIWi4u

   1.     How old are you?
R= ____

   2.     Where are you from?
R= ______________

   3.     Do you think there is a relationship between health and food?
R= _________________________________________________

   4.      Do you think fruits and vegetables are important for your health?
R= _________________________________________________

   5.     How often do you do exercise per week?
a) Once per week
b)  3 days
c)  5 days
d) Never

   6.     Do you think you have a healthy diet?
a)     Yes
b)    No

   7.     Do you smoke?
a)     No
b)    Every day
c)     On weekends
d)    On workdays

   8.     Do you drink alcohol?
a)     Yes
b)    No

   9.     If yes, how many drinks you drink?
a)     1 drink
b)    2 – 3 drinks
c)     4 – 5 drinks
d)    More than 5 drinks

   10.  Do you have an ongoing medical condition?
a)     No
b)    Yes

   11.  If yes, what condition?
R= _________________________________________________

   12.  Do you think sleep is important to your health?
a)     Yes
b)    No

   13.  How long do you sleep?
a)     Less than 6 hours
b)    6 – 7 hours
c)     7 – 8 hours
d)    More than 8 hours

   14.  Do you think negative emotions affect your daily health?
a)     Yes
b)    Always
c)     Never

   15.  How do you feel about your health? What could you improve?
R= ________________________________________________

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