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  1. Surveys
  2. 2012
  3. November
  4. P
  5. Personality, mood and eating habits
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Exit Survey
 
 
I would like to invite you to participate in a research study looking at a range of eating habits in relation to mood and personality traits. This survey is part of my Bsc Psychology course and is supervised by Dr. Simon Green ([email protected]).There is no hidden agenda and the questions and statements in the attached questionnaires are not intended to be ambiguous in any way. I hope you will respond openly and frankly to all items since your identity will remain anonymous and the data will be treated with upmost confidentiality.

Taking part in the survey will involve completing the online self-report questionnaires. The length of time the survey takes to complete will vary from person to person, but it is unlikely to take more than fifteen minutes. Please do not dwell too long on any question; it is your immediate response that I am interested in.

There are no foreseeable risks associated with this research. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point.

This study has been approved by the Birkbeck College Research Ethics Committee, which follows the BPS Code of Conduct for research Practice.

Please contact me, Elia Fernandes at [email protected] with any questions.

Thank You



Please tick the box below to confirm that you understand and are participating voluntarily. All information that you provide will be treated in confidence, and participants will not be identified by name or by establishment in any present or subsequent written reports.

I indicate by ticking this box that I am participating voluntarily and understand that I can stop and withdraw at any time.
 
 
 
Your gender
 
Male
 
Female
 
 
Please state your age.
 
18-25 years
 
26-35 years
 
36-45 years
 
46-55
 
greater than 55 years
 
 
What is your nationality?
   
 
 
Your Occupation
 
Student
 
Employed
 
Self-Employed
 
Job-Seeker
 
Housewife
 
Retired
 
Other
 
 
 
Please indicate your general state of health on the scale below which ranges from very poor to very good. My health is generally:
 
1 (very poor)
 
2
 
3
 
4
 
5 (very good)
 
 
Please indicate your current energy level:
 
1 (very low)
 
2
 
3
 
4
 
5 (very high)
 
 
How frequently do you exercise?
 
Daily
 
Weekly
 
Occasionally
 
Rarely/Never
 
 
How often do you go food shopping?
 
Someone else does the food shopping for me
 
More than once per week
 
Occasionally
 
Monthly
 
Fortnightly
 
Weekly
 
Daily
 
20-item Kristal Food Habits Questionnaire: Your Food Habits

In the past month, how often did you...
Rarely or Never Sometimes Often Usually or Always N/A
1. When eating read meat, trim all visible fat
2. When eating chicken, have it baked or broiled
3. When eating chicken take off the skin
4. Use very low fat (1%) or non-fat milk
5. Eat chicken or fish instead of red meat
6. When eating red meat, eat only small portions
7. Use no calorie spray non- stick spray when cooking
8. Eat ice-milk, frozen yogurt, low fat ice cream or sorbet instead of regular ice cream
9. Use low calorie instead of salad dressing
10. Put butter or margarine on cooked vegetables
Rarely or Never Sometimes Often Usually or Always N/A
11. Snack on raw vegetables instead of …chips
12. Eat breads, rolls, muffins without butter or margarine
13. Use a meatless tomato sauce on spaghetti or noodles
14. Eat at least 2 vegetables (not green salad) at dinner
15. Use yogurt instead of sour cream
16. Have only fruit for dessert
17. Have a vegetarian dinner
18. Put sour cream, cheese or other sauces on vegetables or potatoes
19. Eat special low fat diet cheese
20. Eat boiled backed potatoes without butter or margarine
 
18-Item Block Fat Screener Questionnaire (Bfat): Your Eating Habits Past Month

Think about your eating habits over the past month or so. About how often do you eat food in each of the following categories? Fill in only one circle for each food:
Never of less than once a month 1 to 3 times a month 1 to 2 times a week 3 to 4 times a week 5 times a week or more N/A
1. Margarine
2. Cheese or cheese spread
3. Salad dressings (not diet) mayonnaise
4. Doughnuts, pastries, cakes, pie cookies.
5. Eggs
6. Potato chips, corn chips, popcorn, (not air popped)
7. Butter
8. Cold cuts, lunch meat, ham etc.
9. Beef such as steaks or roasts
10. 2% milk
Never of less than once a month 1 to 3 times a month 1 to 2 times a week 3 to 4 times a week 5 times a week or more N/A
11. Ice cream (not low fat)
12. Hamburgers or cheeseburgers
13. French fries
14. Bacon or sausages
15. Hot dogs, franks
16. Fried chicken with skin
17. Whole milk
18. Pizza
 
10-item Block Fibre Screener Questionnaire (Bfib): Your Eating Habits Past Week

Think about your eating habits over the past week or so. About how often do you eat food in each of the following categories? Fill in only one circle for each food:
Never or less than once per week About once a week 2 or 3 times a week 4 to 6 times a week About once a day or more N/A
1. Vegetable not counting potatoes or salad
2. Fruit, not counting juice
3. Green salad
4. Dark whole grain bread such as whole wheat or rye
5. Juice, such as orange or grapefruit juice
6. Potatoes
7. Beans (baked beans, pintos, kidney beans, or chilli)
8. Brown rice, whole wheat pasta or bulgur
9. Oat bran or wheat germ
10. Fibre supplements
 
NEO-PI Short-Form: Your Personality

The following section contain phrases describing people’s behaviours. Describe yourself as you generally are now, not as you wish to be in the future. Describe yourself in an honest manner. Your responses will be kept in absolute confidence. Please read each pair of words carefully, and then tick the circle that corresponds to the accuracy of the words for you.

I see myself as:
Strongly disagree Disagree moderately Disagree a little Neither agree nor disagree Agree a little Agree moderately Agree strongly
Extraverted, enthusiastic.
Critical, quarrelsome.
Dependable, self-disciplined.
Anxious, easily upset.
Open to new experiences, complex.
Reserved, quiet.
Sympathetic, warm.
Disorganized, careless.
Calm, emotionally stable.
Conventional, uncreative.
 
DASS-21 Questionnaire: Your Emotional State

The following set of questions measure your emotional state. Please read each statement and selection a number 0, 1, 2, or 3, which indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any one statement.

In the past week...
0 Did not apply to me at all 1 Applied to me to some degree or for some of the time 2 Applied to me for a considerable degree or for a good part of time 3 Applied to me very much or most of the time
1. I found it hard to wind down
2. I was aware of dryness of mouth
3. I couldn't seem to experience any positive feelings at all
4. I experienced breathing difficulty (e.g., breathlessness or excessively rapid breathing in the absence of physical exertion)
5. I found it difficult to work up the exertion to do things.
6. I tended to over-react to situations
7. I experienced trembling (e.g., in the hands)
8. I felt that I was using a lot of nervous energy
9. I was worried about situations in which I might panic and make a fool of myself
10. I felt I had nothing to look forward to
0 Did not apply to me at all 1 Applied to me to some degree or for some of the time 2 Applied to me for a considerable degree or for a good part of time 3 Applied to me very much or most of the time
11. I found myself getting agitated
12. I found it difficult to relax
13. I felt down-hearted and blue
14. I was intolerant of anything that kept me from getting on with what I was doing
15. I felt I was close to panic
16. I was unable to become enthusiastic about anything
17. I felt I wasn't worth much as a person
18. I felt that I was rather touchy
19. I was aware of the action of my heart in the absence of physical exertion (e.g., sense of heart rate increase, heart 'missing a beat')
20. I felt scared without any good reason
21. I felt that life was meaningless