I.

DEMOGRAPHIC PROFILE

NAME: (optional) ___________________________________________________

GENDER: MALE FEMALE

AGE: Under 15 15-30 31-60

Civil Status: ________________________________________________________

Occupation: Employee Student others: ________________

II. Survey Questions. Check your answers.

1. Are you willing to have a healthy living lifestyle?

YES NO

2. In what way do you prefer your vegetable?

Cooked Salad

2.1. Cooked Fries

Burgers

_ Ingredients in meat dish

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2.2. Salad _ Greek salad
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_ _ Egg salad with beans
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___ _ Fruit salad
___ _ Others: _______________
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3. In what way do you prefer your fruits?

_ Whole fresh
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_ Shakes/fruits
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__ Salad
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4. How__often do you eat the following?
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__ 4.1. Vegetable _ once a day
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_ _ Twice a day
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__ _ Thrice a day
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_ __ If available
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_ 4.2. Fruits _ once __ a day
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_ Twice a day
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_ __ Thrice
_ a day
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_ ___ If__available
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__ fruit flavor do you
5. What _ prefer
_ for juice?
_ ___ __
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_ _ Orange ___ __ Others (specify)
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__ Apple _ _
___ ___ __ _ Single
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____ Pineapple ___ ___ _ Mix
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___ Lemon __ _
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____ Pear _ __ _
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6. What
____ fruit flavor do you_
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prefer
_ for shake?
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___ Strawberry ____ _ _ Others (specify)
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_____ Mango _ __ Single
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___ Melon __ _ _
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_ __ ___ Mix
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___ Ube halaya ___ _ _
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7. When are the most likely times you would drink shake/fruit juice?

_ Morning
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_ Lunch
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_ End of working day
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_ Before/after work out
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_ No time in particular
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