QUESTIONNAIRE What we eat, how much physical activity we do, how much alcohol we drink or how many cigarettes

we smoke, and also the quality of our social relationships, create the life style on which the health of each of us depends. We are doing a research regarding the life style of the persons over 45 and you belong to the target group which was selected for this purpose. Please read carefully and honestly choose the answer that represents you. The information is confidential and it is used only for processing. Sex: Female Male Age: 40-45 years old 45-50 years old over 50 years old 1. How many times do you eat daily? a. three times; b. five or six times; c. twice.
2. Usually, on breakfast, you choose to eat: a. something rich: eggs, ham, toast, etc.; b. cereals with milk or yoghurt, or a fruit juice; c. I usually skip breakfast.

3. Do you make sure that you have the five portions a day of fruits and vegetables? a. always; b. most of the times; c. occasionally.
4. How often do you eat foods that are rich in saturated fats and cholesterol?

(for example a fat roast, hamburger, hot dog, sausage, mici, bacon, fat cheese, French fries, fat creams, etc.) a. daily; b. seldom or never. c. for 3 or more times per week; 5. In your opinion a healthy meal consists in: a. fried fish with boiled potatoes ; b. rice and corn, beef and in the end a fruit; c. grilled neck, mash potatoes and cake.
6. How many hours do you usually sleep per night? a. 2 3 hours; b. 6 - 7 hours; c. 4 5 hours. 7. How often do you have a medical consultation?

a. every 2-3 years; b. once a year; c. I go to the doctor only when Im ill. 8. When was the last time you measured the blood pressure? a. I dont remember; b. I check it regularly; c. Im not interested in doing this. 9. How much physical activity do you do in a week? a. I do sport twice a month; b. I do physical exercises daily, 30 minutes; c. I dont have time for this. 10.

Are you satisfied with your weight? a. so and so; b. satisfied; c. not satisfied. How many liquids do you drink daily? a. I dont know exactly, but I have with me daily the 0,5 l bottle with water ; b. 2 2,5 l; c. I dont like the water, I prefer coffee or soda.

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How often do you eat highly refined food (drinks like coke, fanta, fast-food, refined cereals white bread, husked rice, pastries, candies etc.)? a. daily; b. seldom or never; c. for 3 or more times per week. Choose the statement that describes best your relationship with the alcohol: a. I drink moderate, at the end of the week; b. I drink a glass with wine every evening; c. I drink more than 2 beers per day. Do you smoke? a. yes; b. no; c. I dont but I stay in cigarettes smoke. Do you consider that you stress yourself in some situations? a. pretty quickly; b. sometimes; c. I dont put everything to my heart. How happy were you in the last month? a. not to happy; b. pretty happy; c. very unhappy.

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Did it often happen to you, in the last month, to have feelings of despair, discouragement, or to feel depressed?

a. yes, very often; b. no; c. in the moments of solitude. 18.

How often do you feel that you cant handle anymore the pressures of life? a. occasionally; b. seldom or never; c. pretty often. Do you have frequent social connections with your family and friends? a. they often upset me; b. yes; c. no. Do you make promises to yourself regarding the maintaining of your personal health? a. many promises; b. I dont have time for this; c. I make some commitments. THANK YOU!

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