Students’ eating habit: Its Effect on their Academic Performance Students’ eating habit: Its Effect on their Academic

r Academic Performance
Name (Optional): Name (Optional):
Instruction: Please answer this questionnaire by checking ( ✓) the Instruction: Please answer this questionnaire by checking ( ✓) the
boxes that corresponds your answer. boxes that corresponds your answer.
I. Students’ Profile I. Students’ Profile
Institute: IAS IBE ICS IHM ITE Institute: IAS IBE ICS IHM ITE
Sex: Male Female Sex: Male Female
Age: Age:
Home Address/Location: Home Address/Location:
II. Questionnaire II. Questionnaire
1. Do you usually eat meal before going to school? 1. Do you usually eat meal before going to school?
Yes No Yes No
2. Does your schedule affects your eating habits? 2. Does your schedule affects your eating habits?
Yes No Yes No
3. If yes, what is the reason behind it? (Select as many categories 3.If yes, what is the reason behind it? (Select as many categories
applicable) applicable)
Lazy to wake up early. Lazy to wake up early.
The schedule of your first class is too early. The schedule of your first class is too early.
Break time is not included in your schedule. Break time is not included in your schedule.
Others please specify: Others please specify:
4. How much is your daily allowance? 4. How much is your daily allowance?
20 - 100 151 - 201 20 - 100 151 - 201
101- 150 201 and above 101- 150 201 and above
5. How much money do you spend on food? 5. How much money do you spend on food?
20 - 50 101 and above 20 - 50 101 and above
51 - 100 51 - 100
6. Which of the following do you normally buy? 6. Which of the following do you normally buy?
Heavy meal (rice, bread,etc.) Junk Foods Heavy meal (rice, bread,etc.) Junk Foods
Street Foods Others please specify: Street Foods Others please specify:
7. What do you feel when you are full? (Choose all that apply) 7. What do you feel when you are full? (Choose all that apply)
You feel sleepy all the time. You feel sleepy all the time.
You are more attentive in discussion. You are more attentive in discussion.
You can think clearly. You can think clearly.
Your stomach is aching. Your stomach is aching.
You feel light and energetic. You feel light and energetic.
Everything that you see in your surrounding is beautiful and bright. Everything that you see in your surrounding is beautiful and bright.
8. How about when you are hungry? (Choose all that apply) 8. How about when you are hungry? (Choose all that apply)
You are always thinking about food especially when you are inside You are always thinking about food especially when you are inside
the classroom. the classroom.
You feel dizzy and nauseous. You feel dizzy and nauseous.
You are absent minded. You are absent minded.
You can’t think clearly. You can’t think clearly.
Your stomach is growling/grumbling. Your stomach is growling/grumbling.
You feel emotionally depleted, resulting in irritability, moodiness, You feel emotionally depleted, resulting in irritability, moodiness,
and a quick temper. and a quick temper.
9. Does physiological need (food) plays a huge role on your 9. Does physiological need (food) plays a huge role on your
performance in school? performance in school?
Yes No Yes No
10. What is your general average last semester? 10. What is your general average last semester?
Lower than 75 81-90 96 and above Lower than 75 81-90 96 and above
75-80 91-95 75-80 91-95