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Gender?
 
Male
 
Female
 
 
 
How old are you?
 
13-19
 
20-30
 
31-39
 
40 and above
 
 
 
your weight?
 
50-70
 
70-90
 
90-100
 
100 and above
 
 
 
Do you have any relatives that suffer from obesity? Do you think obesity is genetic in your family ?
 
Yes
 
No
 
 
 
Have you ever had any health problem because of overweight?( Blood Pressure, Diabetes etc.)
 
Yes
 
No
 
 
 
Have you been obese when you were child?
 
Yes
 
No
 
 
 
How many times do you eat fast food?
 
Once a week
 
Once a month
 
2-3 time a week
 
Everyday
 
 
 
Do you think obesity is a deadly thing ?
 
Yes
 
No
 
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