Healthy Eating Lifestyle Survey

1

What you have for your daily breakfast? * This field is required.请问你日常早餐都吃什么？

Rice 饭类

Noodles 面类

Bread 面包

Coffee 咖啡

Skip Breakfast 没吃早餐

Other

2

How much is your daily breakfast?* This field is required.请问你的一份早餐大约多少钱？

< RM5

RM5 - RM15

> RM15

3

Is your breakfast provides all the nutrients that your body needs in a day? for example: mineral, vitamin and protein?* This field is required.请问你的早餐有没有提供你一天所需要的营养呢？比如：矿物质，维他命还有蛋白质呢？

Yes 有

No 没有

I’m not sure 我不确定

4

If there is a healthy breakfast that can help you to improve energy, improve body conditions and at the same time improve body immunity and a bonus that help you to lose weight or gain weight? Are you interested to know more about this?* This field is required.假如有份营养早餐可以帮助你提升精神体力，改善体质，同时可以提高免疫力，bonus还可以减重/增重，请问你有兴趣想要了解吗?

Yes 有

No 没有

Can consider 可以考虑

5

You wish to know more on:* This field is required.请问你想要了解的是:

Improve energy, body conditions & immunity 改善精神体力，改善体质，提升免疫力

Lose fats 减脂

Gain muscle 增肌

No need 不需要

6

Are you willing to replace your traditional breakfast with a balanced diet breakfast cost at MYR 7.60?* This field is required.如果有一份营养均衡的早餐来代替传统的早餐以换取健康，而只需要RM 7.60，你想要吗?

Yes 要

No need 不需要

Can consider 可以考虑

7

You want to LOSE weight or GAIN how many KG ?您想要减轻或增加多少公斤？

Lose 减

Gain 增

8

Kindly provide your height (cm) , body weight (kg) & your age, I will give you your own magic number and personal meal plan. * This field is required.请填写你的个人身高(cm) , 体重(kg) 和年龄，我将会送你一个属于你的神奇数字和你的个人餐单。

Age 年龄：

Height 身高；

Weight 体重：

9

How should I address you? * This field is required.请问如何称呼你？

Name 名字：

10

And you are.....* This field is required.你是.......

Male 男

Female 女

11

Your Phone Number* This field is required.你的电话号码