Nutrition and Ans
Questionnaire Name: Age: Q1.How many members are there in your family? Ans. i) 3 ii) 4 iii) 5 iv) more than 5 Q2.How many earning members are there in your family? Ans. i) 1 ii) 2 iii) more than 2 Q3.What is their occupation or kind of job? Ans. Q4.What is the monthly income? Ans. Q5. Do you go to school? Yes No Q6.Has midday meal scheme been introduced in your school? Yes No Q7.What do you have for breakfast? Ans. Q8.Do you take milk or any other supplementary drink (specify) everyday? If no, why? Ans. Q9.What kind of food do you have for lunch and dinner? Carbohydrates | Animal protein | Plant protein | Fats | Vitamins & minerals | | | | | | | | | | | | | | | | | | | | | Q10.Do you experience difficulty while chewing, swallowing or eating? Ans. Yes No Q11.Do you skip a meal occasionally? Ans. Yes No O12.Do you often experience nausea or feelings of fatigue and weakness? Ans. Yes No
Questionnaire (Asked to the doctor)
Q1. Malnutrition is most common among individuals aged between –
a) 1-5 years c) 15-50 years
b) 6-15 years d) above 50 years
Q2.What kind of people are commonly suffering from malnutrition ?
a) people below poverty line
b) middle class people
c) rich and well-off people
Q3. What are the techniques and mechanical devices you use to diagnose a malnourished individual?
Ans.
Q4.Is sudden loss of weight a good indicator of malnutrition?
Ans. Yes No
Q5. What percentage of weight loss (in last 3 months ) is suggestive of malnutrition?
Ans.
Q6.Do you think if someone is malnourished being vegetarian is a bad idea?
Ans.
Questionnaire (Asked to the doctor)
Q1. Malnutrition is most common among individuals aged between –
a) 1-5 years c) 15-50 years
b) 6-15 years d) above 50 years
Q2.What kind of people are commonly suffering from malnutrition ?
a) people below poverty line
b) middle class people
c) rich and well-off people
Q3. What are the techniques and mechanical devices you use to diagnose a malnourished individual?
Ans.
Q4.Is sudden loss of weight a good indicator of malnutrition?
Ans. Yes No
Q5. What percentage of weight loss (in last 3 months ) is suggestive of malnutrition?
Ans.
Q6.Do you think if someone is malnourished being vegetarian is a bad idea?
Ans.