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I eat sweets every
 
day
 
week
 
months
 
not at all
 
 
 
I like my tea/coffee/ drinks sweet
 
Yes
 
No
 
 
 
The major portion of my ration is
 
carbohydrate
 
proteins
 
fats
 
 
 
Do you do dieting
 
yes
 
no
 
 
 
Do you find dieting usefull
 
yes
 
NO
 
 
 
How many hrs do you sit
 
2-4 hrs
 
5-7 hrs
 
7-8 hrs
 
more than 10 hrs
 
Other
 
 
 
 
Please check all that applies
 
I go for jogging and walking every day
 
I dont like walking instead use scooter, car , etc
 
I play sports every day
 
i play sports on weekends
 
I do work out at gym /swimming every day
 
I do field work
 
I dont do exercise
 
 
 
Which of the relatives are obese
 
Mom
 
dad
 
brother
 
sister
 
aunt
 
uncle
 
none
 
 
 
Do you smoke
 
Yes
 
no
 
 
 
Do you have diabetes
 
yes
 
no
 
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