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Section A (Please tick all boxes that apply.) The following questions are about the basic information of the respondents. 1. Age : 18 19-21 22-23 24-25 2. Gender : Female Male 3. Ethnicity : Which ethnic group do you belong to? White Asian Black Other 4. What is the highest degree or level of school you have completed? High school graduate Diploma Trade/technical/vocational training Associate degree Bachelor’s degree Master’s degree Professional degree Doctorate degree Other 5. Employment Status: Are you currently…? Employed for wages Self-employed Out of work and looking for work A student Section B Ring One

Social Marketing (Sugar Questionnaire All Combined

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Page 1: Social Marketing (Sugar Questionnaire All Combined

Section A (Please tick all boxes that apply.)

The following questions are about the basic information of the respondents.

1. Age : 18 19-21 22-23 24-25

2. Gender : Female Male

3. Ethnicity : Which ethnic group do you belong to?

White Asian Black Other

4. What is the highest degree or level of school you have completed?

High school graduate

Diploma

Trade/technical/vocational training

Associate degree

Bachelor’s degree

Master’s degree

Professional degree

Doctorate degree

Other

5. Employment Status: Are you currently…?

Employed for wages

Self-employed

Out of work and looking for work

A student

Section B Ring OneThe following questions are related to your health awareness of eating sugary food.1. Do you realise consuming extreme of sugar lead to problem below: Overweight Yes/ NoObesity Yes/ NoDiabetes Yes/ NoCancer Yes/NoHeart disease Yes/NoAnd any other health problem (state if any other)

2. As a healthy way, do you know how many added sugar can be intake per day? Yes/No

Page 2: Social Marketing (Sugar Questionnaire All Combined

3. Do you think eats sugary food will make you addicted to it? Yes/No

4 In general, when you consuming a sugary food, will you pay attention to those calories awareness? Yes/No

5. In general, do you check/ count the calories before eating sugary food? Yes /No

6. Do you currently follow the healthy caloric intake? Yes /No

7 Do you think sugary food is in high calories? Yes/No

8 Do you think that the ingredients labels clearly show the sugar content of any sugary food? Yes /No

9 How would you describe about the sugary food? (In your sugary consuming opinion)

Section C1. During the 1 month past, how often did you drink sugar sweetened fruit drinks

and soft drinks?

o 1—5 days

o 6—10 days

o 11—15 days

o >15 days

2. How frequently you take soft drinks such as Coca-Cola?

o 0—2 drinks per week

o 3—6 drinks per week

o 7—14 drinks per week

o >14 drinks per week

3. Do you agree Coca-Cola is a higher sugar level in all of the soft drinks?

o Yes

Page 3: Social Marketing (Sugar Questionnaire All Combined

o No

4. Do you think ketchup is a high sugar level?

o Yes

o No

5. I add at least 2 teaspoons sugar into my coffee or tea?

o Yes

o No

o Sometimes

6. Do you realize the seriously of taking too much of sugar in your daily food

and drinks consumption?

o Yes

o No

Section D : Medical History / Medical Check-up

1. Have you ever suffered from any disease?

□ Yes, please specify ________________________ □ No

2. Have any of your family members suffered from any disease?

□ Yes, please specify ________________________ □ No

3. Have you ever realize to go for screening test to check your health condition?

□ Yes □ No

4. How frequently you go for screening test?

□ 1-6 month’s □ 7-12 months □ Above 1 year

5. Have you ever get advice from the doctor regarding your health condition?

□ Yes □ No

Section E

1. Do you know how much sugar is in the drinks or foods that you consume?

Yes No

2. Do you prefer sugary products?

Yes No

3. Do you feel satisfaction after consume sugary product?

Yes No

4. What types of sugary products that makes you satisfied?

Page 4: Social Marketing (Sugar Questionnaire All Combined

Beverage Food Dessert Snack