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  1. Surveys
  2. 2016
  3. October
  4. C
  5. Cultural habits and Value Systems
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Exit Survey
 
 
My name is Matthew Street. I am conducting a research on The impact of cultural habits and value system on health.This research is a requirement of CAPE Caribbean studies exam. You do not need to write your name. All information that you provide will be kepyt in strict confidence.Tour kind cooperation will be greatly appreciated.
 
 
 
First Name : 
Last Name : 
Age : 
 
 
 
Do you feel basically healthy?
   
What is your last known weight?
   
How tall are you?
   
Do you have any known illnesses?
   
If so list.
   
 
 
 
What religion and or denomination do you belong to?
   
Do you think your religion affects your health?
   
 
 
 
If so list
   
Does your religion prevent your from eating certain foods or from participating in certain activities? If so explain
   
 
 
 
Do you eat meat, commercially baked sweets, fried foods, or use vegetable oil daily?
   
Do you consume fish less than two times per week?
   
Do you smoke?
   
Do you regularly include fast food in your diet (three or more times per week?
   
Do you smoke and or drink?
   
Are you allergic to any specific foods?
   
 
 
 
Do you exercise regularly or are active in any sport?
   
How many hours do you spend per day using your phone and or computer?