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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
what is your sex?
 
male
 
female
 
 
 
How old are you?
 
below 18 years
 
18-21 years
 
22-27 years
 
28-35 years
 
36-45 years
 
46-60 years
 
above 60 years
 
 
 
How often do you eat a balanced diet?
 
Daily
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
How often do you include vegetables in your diet?
 
Daily
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
how often do you exercise?
 
Daily
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
what type of exercise do you participate in?
 
Riding bicycle
 
walking
 
gym
 
Other
 
 
 
 
how often do you take unhealthy foods like ice cream, chips, chocolate etc?
 
Daily
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
Other
 
 
 
 
how frequent do you eat a fruit?
 
Daily
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
have you ever experienced any dietary deficiency?
 
Yes
 
No
 
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