Instructions-Please Circle The Appropriate Answer To Reflect Your Opinions As Accurately As Possible

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Instructions-Please circle the appropriate answer to reflect your opinions as

accurately as possible.

SECTION A-DEMOGRAPHICS

A. Age
18-25 years
26-35 years
46-55years
56-65years
65 years and over

B. Gender
Male
Female

C. Ethnicity
Indo Trinidadian
Afro Trinidadian
Mixed

D. Educational Background
Less than secondary school
Completed secondary school
Vocational or Trade
Completed University
None

E. Monthly household Income


Below $5,000.00
$5,000-$10,000
$10,000-$15,000
$15,000-$20,000
Above $20,000
Prefer not say

F. Number of people in your household, yourself included


2
3
4
5 and more
SECTION B

1. Would you say your child is:


a. Underweight
b. Ideal weight
c. Overweight
d. Obese

2. If you have selected c. or d. for Question 1, why do you think your child is overweight
or obese? (Multiple selection is accepted)
a. Your physician told you that your child is overweight/obese
b. Compare to children their age, they are bigger in size
c. Public opinions suggested that they are overweight/obese
d. You personally believe they are much bigger than the average child their age.

3. You are trying to get your child to


a. Lose weight
b. Gain weight
c. Nothing (Satisfy with their weight)

4. During school week, where are meals provided for you child?
a. Home prepared meals
b. School feeding program

If ‘a’ was selected for question 4, please proceed to question6.


If ‘b’ was selected for question 4, please continue to question 5.

5. How would you rate the meals prepared by the school feeding program?
a. Breakfast Availability Excellent Good Poor Don’t Know
b. Healthy Choices Excellent Good Poor Don’t Know

6. How would you rate the meals prepared at home for your child?
a. Breakfast Availability Excellent Good Poor Don’t Know
b. Healthy Choices Excellent Good Poor Don’t Know
7. How often are the following practiced by your child?
a. Eat out (Doubles,KFC,Chinese) Everyday 3-6 times a wk. Once a Wk. Never
b. Eat home cooked meals Everyday 3-6 times a wk. Once a wk. Never
c. Eat in front the TV Everyday 3-6 times a wk. Once a wk. Never
d. Eat breakfast Everyday 3-6 times a wk. Once a wk. Never
e. Eat double servings Everyday 3-6 times a wk. Once a wk. Never

8. Does your child snack between meals and is it healthy?


a. Yes Healthy Unhealthy Don’t Know
b. No Healthy Unhealthy Don’t Know
c. Don’t Know Healthy Unhealthy Don’t Know

9. How often is physical activity (P.E at school, sports club, karate, dance, recreational
park, etc.) present in your child’s life?
a. Every day
b.3-5 days a wk.
c. Once a week
d.2-4 times a month
e. Once a month
f. Never(couch potato)

10. How important the below mentioned factors are when you are buying food for your
family?
a. Price Very important Important Somewhat Important Doesn’t Matter
b. Convenience Very important Important Somewhat Important Doesn’t Matter
c. Taste Very Important Important Somewhat Important Doesn’t Matter
d. Nutritional Value Very important Important Somewhat Important Doesn’t Matter
e. No Factors Very Important Important Somewhat Important Doesn’t Matter

Thank you. This is the end of the survey.

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