QUESTIONNAIRE

Instruction: For each of the item, indicate the degree to which you think the items are true for
you by putting a check mark (/) on the space provided that corresponds your answer.

Part I. Profile of the respondents

A. Demographic

1. Age 3. Program
□ 18 years old □ BSPT
□ 19 years old □ BSPh
□ 20 years old □ BSN
□ 21 and above
2. Sex 4. Year Level
□ Male □I
□ Female □ IV
□V

B. Health Related Characteristics

Height (m): _________
Weight (kg): _________
Frequency of consultation done to the dietician/nutritionist/year: ____________

Part II. Perceived determinants of food preferences

Instruction: Please read the following food determinants classified and put a check mark ( ) on
the space provided which most accurately reflects how much you like the item indicated.

Legend:

Scale Descriptive Rating

1 Not Preferred
2 Least Preferred
3 Moderately
Preferred
4 Highly Preferred
5 Very Highly
Preferred