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Questions
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1
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Gender
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Male
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Female
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2
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Age (years)
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20-30
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31-40
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41-50
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51-60
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>60
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3
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Social status
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Single
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Married
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Divorced
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Widowed
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4
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Weight (kg)
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5
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Height (cm)
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6
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The highest educational stage
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Kindergarten
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Primary
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Intermediate
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High School
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Special Education
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7
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Do you suffer from any of the following diseases?
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Obesity.
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Diabetes.
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Blood pressure.
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Heart disease.
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None.
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8
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Physical activity
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I don't do any activity.
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Light activity (housework or half an hour walks 3 or less times a week).
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Moderate activity (walking an hour or going to the gym 3-4 times a week).
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High activity (running or swimming in the club an hour a day 4-5 a week).
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9
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Would you like to increase your physical activity in the future?
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Yes
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No
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Maybe
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10
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What do you think of the new decision of the competent authorities to compel restaurants and food stores to write calories on their menus?
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Awesome, and I loved it.
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Good.
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Not good.
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I don't care.
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11
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When ordering from the restaurant, do you specify the type of food because the calories in it are lower than some other foods?
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Yes.
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No.
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Maybe.
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12
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Do you think that forcing restaurants to do so will help the community to choose healthy food in the future?
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Yes.
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No.
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Maybe.
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I don’t know.
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13
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When you visit restaurants, what is the thing that catches your attention the most when reading the menu?
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Price.
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Description of the meal.
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Shape.
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Calories.
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14
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Are calories in menus usually written clearly?
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Yes.
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No.
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Maybe.
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I don’t know.
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15
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Do you spend a lot of time reading calories when choosing a meal?
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Yes.
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No.
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Maybe.
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I don’t know.
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16
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After committing this decision, did you become more attentive when purchasing a meal with the number of calories in it?
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Yes.
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No.
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Maybe.
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I don’t know.
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17
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How many times do you visit the restaurant during the week before obligating this decision? Please select the time.
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18
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How many times do you visit the restaurant during the week after obligating this decision? Please select the time.
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19
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Do you think writing calories on menus will help you maintain your weight?
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Yes.
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No.
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Maybe.
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I don’t know.
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20
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Do you think writing calories on menus will help you lose weight?
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Yes.
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No.
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Maybe.
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I don’t know.
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21
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Do you think writing calories on menus will help you gain weight?
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Yes.
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No.
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Maybe.
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I don’t know.
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22
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Do you think that writing calories on menus meets daily energy needs?
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Yes.
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No.
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Maybe.
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I don’t know.
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23
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Are you using calorie information because of a medical condition?
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Yes.
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No.
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24
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Do you calculate your daily calorie intake?
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Yes.
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No.
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26
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Please indicate how much you agree with the following phrases: (Knowledge)
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Phrase
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Strongly Agree
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Agree
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Neutral
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Disagree
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Strongly Disagree
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1- Calories are a measure of the amount of energy in food
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2- Calculating the calories consumed in food helps to reach the appropriate weight
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3- Vitamins and minerals contain calories
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4- Carbohydrates, proteins and fats contain calories
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5- One gram of fat contains the same number of calories as one gram of sugars
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6- An individual's calorie needs are determined based on factors including weight, height, age, gender and physical activity.
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7- The Food and Drug Authority obligated restaurants and cafes to display calorie information on the list of foods
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8- It is recommended to look at the calorie information when ordering food from the restaurant
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9- Calorie information displayed in restaurants is easy to understand
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10- Adults need an average of 2,000 calories per day
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11- Individual calorie needs vary from person to person
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12- Knowing the number of calories helps to balance the added energy and the energy used in the body
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27
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Please indicate how much you agree with the following phrases: (Practice)
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Phrase
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Strongly Agree
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Agree
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Neutral
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Disagree
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Strongly Disagree
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1- I don't care about healthy meals when eating
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2- I am very concerned that the food I eat is healthy
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3- I eat the food I like without caring whether the food is healthy or not
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4- It is important that the meals I eat are low in fat
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5- I always follow a healthy and balanced diet
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6- It is important that my meal be high in vitamins and minerals
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7- I don't care if snacks are healthy or not
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8- I do not avoid meals if they raise cholesterol levels
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9- I think it is very important to know how to eat healthy food
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10. I think other people care more about healthy meals than I do
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11- I think it is important to eat fruits twice a day and eat vegetables
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12- I take care not to eat much food
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13- I am very interested in eating a balanced diet
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14- I take great care to eat my meals regularly
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15- I take care to avoid eating an amount of sugar
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