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STYLE OF LIFE
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1.
HOW OLD ARE YOU?
11
12
13
14
15
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2.
WHAT SEX ARE YOU?
boy
girl
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3.
DO YOU GENERALLY HAVE BREAKFAST?
Yes, at home
Yes, at school
No breakfast at all.
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4.
HOW MANY MEALS DO YOU HAVE A DAY?
3 meals
5 meals
More than 5 meals
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5.
DO YOU PRACTISE ANY SPORT?
Yes, at school only
Yes, both at school and outside, twice a week
Yes, both at school and outside, more than twice a week
No sport at all
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6.
WHEN YOU PRACTISE SPORT, HOW DO YOU FEEL?
Weak and tired
Fine even if tired
Better than before and satisfied
Unsatisfied
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7.
WHAT DO YOU DO IN YOUR FREE TIME?
Go out with friends
Play in the park
Stay at home (video games or other electronic instruments)
Watch tv
Other
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8.
IF OTHER, WHICH ONE?
Your answer
9.
HOW DO YOU GO TO SCHOOL?
Walking
By bike
By car or by bus
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10.
WHAT IS YOUR FAVOURITE FOOD? ( choose 2 )
Pasta
Pizza
Vegetables and fruit
Meat and fish
Dairy products
Sweets and snacks
Fast food
Other
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11.
IF OTHER, WHICH ONE?
Your answer
12.
WHAT TIME DO YOU GO TO BED?
From 9 to 10 o’clock p.m.
From 10 to 11 o’clock p.m.
After 11 o’clock p.m.
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NAME:
Your answer
SURNAME:
Your answer
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