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Obesity

This document contains a 25 question survey about weight, health, diet, and lifestyle. It collects information such as age, gender, height, weight, occupation, medical conditions like blood pressure and diabetes, exercise habits, weight loss methods, fast food consumption, physical problems caused by obesity, sleep, and health checkups. The questions are both multiple choice and yes/no format to understand respondents' demographics and behaviors related to obesity.

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yugantcmore
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20 views2 pages

Obesity

This document contains a 25 question survey about weight, health, diet, and lifestyle. It collects information such as age, gender, height, weight, occupation, medical conditions like blood pressure and diabetes, exercise habits, weight loss methods, fast food consumption, physical problems caused by obesity, sleep, and health checkups. The questions are both multiple choice and yes/no format to understand respondents' demographics and behaviors related to obesity.

Uploaded by

yugantcmore
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Rayat Shikashan Sanstha's

Rajarshi Chhatrapati Shahu College, Kolhapur


Statistics Project Questionnaire

1. Name:-_________________________________________________________________
2. Age:-

Below 10 10-20 20-30 30-40 40-50

50-60 60-70 70-80 80-90 90 and above

3. Gender: - Male female others

4. Height: - cm 5. Weight: - KG

6. Do you consider yourself?

a) Underweight b) Normal weight c) Overweight d) Obesed

7. What is your occupation?

a) Farmer b) Government job c) Private sector d) Business.


f) Driver g) Student h) House wife g) other

8. Do you have blood pressure? No If Yes

a) Low b) Normal c) High d) Very high

9. Do you have diabetes? No If Yes

a) Low b) Normal c) High d) Very high

10. Do you work out daily?

a) Yes b) No c) Sometimes

11. What do you do to loss your weight? No If If Yes

a) Dieting b) Gym c) Yoga d) Daily walking


f) Running

12. How many years have you over weight?

a) Less than 2 years b) 5 Years c) 10 Years d) 15 Years


e) 15 Years above f) from birth g) No

13. What type of medical treatment has been taken to loss your weight? No If Yes

a) Ayurvedic b) Nutritional supplements c) Homeopathic d) Allopathic medicine e) Other


14. How long have you been starting weight loss treatment? No If Yes

a) Less than 2 years b) 5 Years c) 10 Years d) 15 Years


e) 15 Years above

15. How much water do you drink in a day?

a) 1 Litter b) 2 Litter c) 3 Litter d) 4 Litter e) 5 Litter

16. How many cup of tea do you drink in a day?

a) Only 1 cup b) 2-3 cup. c) 4-5 cup. d) Above 5 cup g) No

17. How often do you eat fast food (e.g. McDonald’s; pizza; KFC; Taco Bell; Popeye’s; quick neighborhood
takeout; etc.)?

(a) Every day or almost every day (b) A few times a day
(c) About once a week (d) A few times a month (e) No

18. Does obesity cause you have any physical problem?

a) Back pain b) Indigestion c) Hair loss d) Knee pain


e) Acidity f) Arthritis g) No

19. Does obesity make you shortness breath when you walk?

a) Daily b) Sometimes c) No

20. How much sleep do you get in a day?

a) Less than five hours b) Five to seven hours c) Eight hours or more

21. How often do you get a health checkup?

a) Once in 3 months b) Once in 6 months c) Once a year d) Only when needed

e) Never get it done f) other g) No

Questions Yes No

22. Are you vegetarian?

23. Are you genetically obsessed?

24. Do you have any diet plan?

25. Do you have thyroid related disease?

26. Do you have any problem such as MC and PCOD ( only for women’s )

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