Name: (optional) _______________________________

Gender: (check one) ___Male ___Female

Age: __________
1. What is your current CGPA? (check one)
____0.00 less than 1.00
____1.00 less than 1.50
____1.50 less than 2.00
____2.00 less than 2.50
____2.50 less than 3.00
____3.00 less than 3.50
____3.50 4.00
Encircle the letter that suits your choice.
2. Do you take any vitamins, or any other supplements? If no skip the next question
a.

Yes

b.

No

3. Do you follow the Recommended Daily Allowance for the vitamins you take?
a.

Yes

b.

No

4. How many hours of sleep do you take during school days

a.

1-2 hours

d.

7-8 hours

b.

3-4 hours

e.

More than 8 hours

c.

5-6 hours

c.

5-6 hours

d.

7-8 hours

5. How many hours do you study every day? (encircle one)

a.

1-2 hours

b.

3-4 hours

e.

More than 8 hours

6. On average, how many meals do you eat in a day? (encircle one)

a.

c.

b.

d.

4 or more

7. On average, how many times do you eat fast food meals in a week.
a.

c.

b.

d.

4 or more

Kindly encircle SA for Strongly Agree, A-Agree, N- Neutral, D-Disagree And SD-Strongly
Disagree

1. Vitamins can effect the overall performance of a student

SA

SD

2. Vitamins/ supplements play a vital role in maintaining a healthy body.

SA

SD

3. Taking too much vitamins / supplements is not good for my health

SA

SD

SD

4. Young people does not need to take in vitamins.

SA

5. Vitamins / Supplements give great contribution to the performance of the members of the
Lasallian community.
SA

SD

6. I do not find vitamins effective in the performance of a student

SA

SD

7. Vitamins are considered to be a placebo due to its lack of effectiveness

SA

SD

8. Vitamins are not effective and can even be dangerous for my health
SA

SD

9. Academic Performance is effected when taking vitamins.

SA

SD

10. I can take vitamins as a form of medicine when I am sick.

SA

SD

11. Vitamins are useful especially for people who are always eating foods that lacks nutrition
(e.g. fast foods)
SA

SD

12. Global Market value of vitamins is an evidence for its effectiveness.

SA

SD

13. Vitamin C did not help my immune system from contracting colds
SA

SD