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健康醒覺活動問卷
CASA RISA NUTRITION CLUB .
16
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1
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我们Nick 和Vivian健康教练,正在推广Flex45 健康醒觉活动,在这时期,照顾健康是每一个人的责任。感谢您抽出2分钟的时间帮我完成这问卷。您可来到我们营养俱乐部领取您的四份礼物。We are Community LIFESTYLE COACHES Nick and Vivian. We are promoting FLEX45 Health Awareness Campaign. During this period of time, taking good care of own health is everyone's responsibility. Thank you for 2 minutes of your time in helping us complete this survey.welcome you come and visit our nutrition club and redeem your gifts.
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2
How should I address you? 可以如何称呼您?
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3
Your contact number 您的联络号码
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4
Gender 性别
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Female 女
Male 男
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5
1. What breakfast do you take normally ? 您的早餐是什么?
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Can choose more than 1 answer. 可以选多过一个答案。
Don't take any breakfast 没吃早餐
Noodles 面类
Nasi Lemak 椰浆饭
Bread 面包
Coffee or Tea 咖啡或茶
Others 其他
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6
2. How much is your daily breakfast? MYR
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请问您的一份早餐大约多少钱?
< RM 5.00
RM5.00 - RM 9.99
RM 10.00 - RM 14.99
>RM 15.00
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7
3. Do you think your breakfast provides all the nutrients that your body needs in a day?
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您认为您的早餐有提供您一天所需要的营养吗?例如:矿物质,维他命及蛋白质。
Yes 有
No 没有
Not sure 不清楚
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8
4. Do you drink 8 glasses of water everyday?
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请问您一天有喝8杯水吗?
Yes 有
No 没有
Not sure 不清楚
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9
5.Would you consider to replace your usual breakfast options with a balanced nutrition breakfast costing only RM8.60?
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如果有一份均衡营养早餐代替传统早餐可以改善健康,而只需RM 9.00 , 您想要吗?
Yes. 要
No. 不要
Can consider. 可以考虑
Other
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10
6. If there is a healthy breakfast can help you to improve energy, improve body conditions and at the same time improve immunity and as a bonus help you to lose/ gain weight. Are you interested to know more?
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假如有份营养早餐可以帮助您提升精神体力,改善体质,同时可以提高免疫系统,还可以增重/减重,请问有兴趣了解吗?
Yes, interested. 有兴趣
No, thank you. 没兴趣
Can consider. 可以考虑
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11
7. What do you would like to know more: 请问您想多了解的是:
*
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可以选多过一个答案。Can choose more than 1 answer.
Improve body condition, energy and increase immunity. 改善体质
Lose fat, lose weight. 减脂,减重
Gain weight. 增重
Nothing specific. 不需要
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12
8. How much weight (kg), would you like to gain or lose?
您想要减重或增重几公斤?
Eg:Gain 5kg 增 5kg
Eg:Lose 5kg 减 5kg
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13
Kindly provide your Height (cm), Body weight (kg), and Age. I will calculate your Magic Number and Personal Meal Plan for you.
*
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请填写您的个人身高(cm),体重(kg), 和年龄。我会送您一个属于您的神奇数字和饮食餐单。
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14
Appointment
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15
Convenient contact time
方便联络时段
Morning 8am-10am 早上8点至10点
After lunch 1pm-2pm 午餐后1点至2点
After Dinner 8pm-9pm 晚餐后8点至9点
Holidays 假日
Anytime 随时
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16
REDEEM GIFTS🎁
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