Research Data Collection -High School(HS) Teaching Professional (Copy)
1. How many years have you worked in this profession?
0-2 years
3-5 years
6-10 Years
11-15 Years
16-20 Years
21+ Years
Other
Required
2. What is your age?
Below 20
20-30 Years
30-40 Years
40-50 Years
50+ Years
Required
3. What is your Gender?
Male
Female
Other
Required
4. Highest Level Of Education?
Bachelor’s
Master’s
Phd
Other
Other
Required
5. How Many Hours do you work in a day?
Less than 6-7 Hours
6-7 Hours
More than 6-7 Hours
Other
Required
6. Do you regularly work over time hours beyond scheduled teaching duties? (Special Class,
Tuition)
Yes
No
7. Are You following any special Diets or restrictions?
Vegetarian
Vegan
Non- veg
No special Diet followed
Other
Other
Required
8. How many meals do you eat per day on average? Like Breakfast, Brunch, Lunch, Evening Snacks,
Dinner etc
3(Breakfast, Lunch, Dinner)
5
5+
Other
Required
9. Which meals do you most frequently skip?
Breakfast
Lunch
Dinner
None, I don’t usually skip meals
Required
10. What do you mainly Consume for Breakfast?
Appam
Dosa
Idli
Chappathi
Puttu
Upma
Parotta
Noolputtu
Poha
Other
Other
Required
11. What do you mainly eat for lunch?
White Rice
Brown Rice
Biriyani, Mandhi etc
Breakfast Leftovers
Burgers, Sandwiches, pizza etc
Other
Other
Required
12. What do you mainly eat for Dinner?
Rice Items
Chappathi
Salads
Biriyani, mandhi etc
Fast Foods like parotta, Burger etc
Other
Other
Required
13. What type of Snacks do you mainly consume?
Bakeries
Sweets
Oily Foods(എണ്ണക്കടികൾ )
Sandwiches, Burgers etc
Other
Other
Required
14. How many servings of sweets or high-sugar snacks do you consume during a typical work shift?
1-2
3-4
5-6
0
Required
15. How many servings of fruits and vegetables do you eat per day?
Never
1-2 times
3-5 times
6-10 times
10+ times
Required
16. How much Litres of water do you drink in a day?
½ litre(5 Glass)
1 litre(10 glass)
1.5 litre(15 glass)
2 litres(20 glass)
2.5 Litre(25 glass)
3 litre(30 glass)
3.5 litre(35 glass)
4 litre +(40 glass )
Below ½ litre(5 glass)
Required
17. When you prepare meals at home, how often do you include fresh fruits, vegetables, whole
grains, lean proteins, low-fat dairy?
Never
Rarely
Sometimes
Often
Always
Required
18. Types Of sweetened Beverages you consume daily?
Tea
Coffee
Shakes
Juices
Smoothies
Alcohol
Other beverages
No swetetened Beverages
Required
19. How often do you drink sugar- sweetened beverages?
Never
1-3 times per week
4-6 times per week
Daily
Multiple Times Daily
Required
20. How frequently do you add salt, oil, butter, sauce, or condiments to foods?
Never
Rarely
Sometimes
Often
Every Meal
Required
21. Have you ever had a nutritional assessment or analysis of your dietary intake?
Yes
No
Required
22. Do you have access to Nutritious Food at Home?
Yes
No
23. If not, Why?
Demographic reasons (Age, Gender, Marriage)
Economic Reasons
Geographical Reasons (Hilly area, Rural Area)
Social Reasons
Religious Reasons
Cultural Reasons
Other
24. Have you been diagnosed with any food allergies(Peanut, Milk, Egg, Seafish, Wheat etc) or
intolerances(Lactose, Gluten, Fructose,Caffeine etc)?If so, Please list
25. Do you consume or use any of the below?
Alcohol
Tobacco or Nicotine
Drugs
None
Other
Required
26. Do you take vitamin, Mineral or Nutritional Supplements regularly?
Yes
No
Other
Required
27. During Stressful time, which of the following eating behaviour would you follow?
Late-Night Eating
Binge Eating
Avoiding Foods
No Changes
More Healthy Foods
28. Have you been diagnosed with any chronic health conditions by a medical provider? If so, please
check(വേറെ ഏതെങ്കിലും അസുഖം ഉണ്ടെങ്കിൽ താഴെ കൊടുത്ത Spaceil എഴുതുക )
Cancer
Cardiovascular diseases (Highblood pressure,Low blood Pressure, Atherosclerosis )
Stroke
Diabetes
Tuberculosis (TB)
Kidney Diseases(Kidney Stones, Kidney Failure)
Fatty Liver
Covid-19
Vector- Borne diseases(Malaria, Dengue, Chikungunya etc)
Chronic Obstructive Pulmonary Disease
PCOD/PCOS
Cholesterol /Lipid (Hyper)
Arthritis
Alcohol – Related Health Issues
Obesity
Alzheimer’s Disease
Cirrhosis
Hyperthyroidism
Hypothyroidism
Overweight
Other
Nil or Nothing
Other
Required
29. Family History(Father, Mother, Grandfather, Grandmother so on)of any genetic diseases or chronic
diseases
30. Are you taking any medication?
Yes
No
Required
31. Have You experienced any work-related musculoskeletal issues?
Yes
No
Other
Required
32. How often do you take Medical Checkups
Annually
Every 2-3 years
Every 5+ Years
Never
Monthly
Every 6 Months
Required
33. How has the COVID-19 pandemic influenced your dietary and lifestyle practices?
Positively
Negatively
No effect
Required
34. How often do you experience occupational stress?
Never
Rarely
Sometimes
Often
Always
Required
35. How would you describe your current stress levels?
Very Low
Low
Moderate
High
Very High
Required
36. Does job uncertainty or instability impact your stress levels?
Not at all
Minor impact
Moderate impact
Major Impact
Required
37. How do you cope with occupational stress?
Exercise
Relaxation Techniques
Talking with friends /Family
Unhealthy Coping Mechanisms
Medications
No effective Coping mechanisms or nothing
Other
Required
38. Do you have any diagnosed mental health disorder? If so, please list
Schizophrenia
Bipolar Disorder
Mood Disorders
Eating Disorder
Anxiety Disorders
Personality Disorders
Psychotic Disorders
Post Traumatic Stress Disorder
Alzheimer’s disease
Depression
Parkinson’s disease
Other
Nil or Nothing
Other
Required
39. How many hours of sleep do you get per night?
Below 5+
7 Hours
8 Hours
9 Hours
9+ Hours
Required
40. Have you ever consulted mental Health Counselling Or support?
Yes
No
Required
41. Where have you obtained most of your nutrition education?
Media/Internet
Workplace Programs
Healthcare Professionals
During Studies
Friends/ Family
Other
Other
Required
42. How often do you use trusted online resources to research health topics?
Never
Rarely
Sometimes
Often
Very often
Required
43. Are You familiar with emerging nutrition trends like nutri genomics or personalized nutrition?
Very Familiar
Somewhat Familiar
Unfamiliar
Required
44. How much physical activity do you get from your teaching job?
Significant Physical Activity
Moderate Physical Activity
Minimal Physical Activity
No Physical Activity
45. How many days per week do you engage in moderate to vigorous physical activity?
1-2
3-4
5-6
Required
46. What types of physical activity or exercise do you engage in regularly?
Walking
Running
Swimming
Cycling
Yoga
Zumba
Weight Lifting
HIIT
Skipping
Calisthenics
Games(Football, Cricket, Volleyball, Badminton etc)
Gymnastics
Cardio training
Dancing
Required
47. Do you use a fitness tracker, Smartwatches,health app, or other wearable technology?
Yes
No
Other
Required
48. Does technology help you in minimizing work-life balance? (AI, Classroom Projector, Online
Classroom)
Yes
No
49. How Health-Conscious is your workplace environment?
Not at all
Slightly
Moderately
Very
Extremely
Required
50. How meaningful and satisfying do you find your work?
Not at all
Slightly
Moderately
Very Extremely
Required
51. How does working with colleagues impact your job satisfaction?
Major negative impact
Minor negative impact
No impact
Minor Positive impact
Major positive impact
Required
52. How does working with your colleagues impact your physical and mental health
Postively Impact
Negatively Impact
No Impact
53. How often do you feel fatigued or experience headaches during typical work hours?
Never
Rarely
Sometimes
Often
Daily
Required
54. Have you been diagnosed with any health conditions related to your work environment?
(ഉണ്ടെങ്കിൽ താഴെ കാണുന്ന spaceil എഴുതുക )
Yes
No
Other
Required
55. What are your food options at workplace?
Restaurants
Cafeterias
Vending Machines
Home-made meals
Frozen Foods
Other
Other
Required
56. How would you describe your workplace food environment?
Very limited options
Some healthy options available
Mostly fast food, vending etc
Wide variety of healthy and unhealthy choices
Required
57. Do you feel your current income provides enough financial stability to support your health?
Yes
Somewhat
No
Required
58. Does your workplace offer initiatives (Free health checkups,Nutrition Programs,Health promotion
programs etc) to support employee health?
Many Initiatives
Some initiatives
No initiatives
Required
59. Is Health/Wellness prioritized in your staff evaluation process?
Yes
No
Required
60. How do cultural factors influence your dietary choices?
Major influence
Moderate influence
Minor influence
No influence
Required
61. How do societal trends and media influence your perception of health and well-being?
No influence
Minor influence
Moderate influence
Major influence
Required
62. What factors most influence your wellbeing?
Relationships
Job satisfaction
Work-life balance
Physical health
Mental Health
Other
Required
63. What is your height?
Required
64. What is your weight?
Required
65. Blood Pressure Level
Less Than 90/60(Low Blood Pressure)
Less than 120/80(Normal)
120-129/less than 80(Elevated)
130-139/80-89(Stage 1)
140 or higher/90 or higher(Stage 2)
180 or higher/120 or Higher(Stage 3)
Other
66. Blood Sugar Level(Fasting)
126 or above(Diabetic)
100-125 (Prediabetic )
99 or below(Normal)
67. Blood Sugar Level(Post Prandial)
200 Mg above(Diabetes )
140-199(Pre diabetes)
140 or belo(Normal)
68. Cholesterol Level
Under 200(Heart-Healthy)
200-239(At Risk)
240 or higher(Dangerous )
69. Haemoglobin Levels
13.5 to 18 (Normal For Men)
Below 13.5 ( anemic for Men)
12 to 15(Normal for women)
Below 12 (Anemic For women)
Other
Answered0of 69
Done
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