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BMI and Physical Activity Survey for Students

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0% found this document useful (0 votes)
5 views5 pages

BMI and Physical Activity Survey for Students

Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Form Title:

Research Questionnaire on Body Mass Index (BMI) and Physcial Activity Levels among Female
Students at the University of Maiduguri

Form Description:

Dear Participant,

This questionnaire is part of an undergraduate research study titled: “Relationship between Body
Mass Index (BMI) and Physical Activity Levels among Female Students in the University of
Maiduguri, Nigeria.” Your participation is voluntary, and all information provided will be kept
strictly confidential and used for academic purposes only. You have the right to withdraw at any
time without any consequence.

By clicking “Next” below, you consent to participate in this study.

Thank you!

SECTION A: Socio-Demographic Information

Please provide accurate responses to the following questions.

1. Age:

18-29 years [ ]

30-39 years [ ]

40-49 years [ ]

50 years and above [ ]

Prefer not to say [ ]

2. Gender:

Female [ ]

3. Level of Study:

100 Level [ ]
200 Level [ ]

300 Level [ ]

400 Level [ ]

500 Level [ ]

600 Level (if applicable) [ ]

4. Faculty:

Agriculture [ ]

Arts [ ]

Dentistry [ ]

Education [ ]

Engineering [ ]

Environmental Sciences [ ]

Law [ ]

Management Sciences [ ]

Medicine [ ]

Pharmacy [ ]

Science [ ]

Social Sciences [ ]

Veterinary Medicine [ ]

Allied Health Science [ ]

Basic Medical Science [ ]

Others, specify: ___________________


5. Marital Status:

Single [ ]

Married [ ]

Divorced [ ]

Widowed [ ]

6. Do you live on campus?

Yes [ ]

No [ ]

SECTION B: Physical Activity (Adapted from IPAQ Short Form)

Answer based on your activities during the past 7 days.

7. During the last 7 days, on how many days did you do vigorous physical activities (e.g.,
running, heavy lifting, aerobics) for at least 10 minutes at a time?

Days per week: _______

Minutes per day: _______

8. During the last 7 days, on how many days did you do moderate physical activities (e.g., brisk
walking, cycling, house chores) for at least 10 minutes at a time?

Days per week: _______

Minutes per day: _______

9. During the last 7 days, on how many days did you walk for at least 10 minutes at a time (e.g.,
to class, hostel, or market)?

Days per week: _______

Minutes per day: _______


10. On a typical weekday, how much time do you spend sitting (e.g., during lectures, studying,
screen time)?

Hours per day: _______

11. Do you engage in any form of structured exercise (e.g., gym, yoga, dance, jogging)?

Yes [ ]

No [ ]

If yes, specify: ___________________

SECTION C: Anthropometric Data

Please provide your current measurements. If unsure, you may estimate or use recent values.

12. What is your current height (in meters)? ___________

13. What is your current weight (in kilograms)? ___________

14. Have you ever been told by a health professional that you are overweight or underweight?

Yes [ ]

No [ ]

15. Do you consider yourself to be physically active?

Yes [ ]

No [ ]

Not Sure [ ]
16. What are the main barriers preventing you from engaging in physical activity? (You may
select more than one)

Lack of time [ ]

Lack of interest [ ]

Cultural or religious concerns [ ]

Insecurity or environmental risks [ ]

Lack of facilities or space [ ]

Academic workload [ ]

Other (please specify): _______________

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