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2011
March
S
Source of Protein
Source of Protein
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Name (Optional):
Age:
Student No.:
Year Level:
Body Weight:
Daily Food Budget:
Actual Cost of Food (Daily):
Source of Protein (Check as many as possible):
beans
nuts
peas
pork
beef
chicken
fish and other seafoods
milk
cheese
egg
tofu
How often do you eat these foods?
everyday
once a week
twice a week
thrice a week
once in a month
Other
How many times in a day do you eat? (excluding snacks)
once
twice
thrice
If not 3 times a day, Why? (check as many as you can)
busy
on a diet
out of budget
Other
Among the mentioned sources of protein, which do you prefer the most?
beans
nuts
peas
pork
beef
chicken
fish and other seafoods
milk
cheese
egg
tofu
Where do you eat most of the time?
school canteen
eateries near boarding house
packed foods (baon)
home
restaurants
Other
Are the sources of protein mentioned available from where you eat?
Yes
No
Other
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