Socrates - Comenius 1: 
School Project ďWe are all living under the same skyĒ


Civics

Questionnaire Ė LIFESTYLE

Arranged by class V3A

Fill in the questionnaire in capital letters. Circle other items. If there is anything unclear, ask the present assistants. Please fill in all the questions truly so that the questionnaire is valid.

Part 1

Sex: male / female

Class:

Age: 11-14 / 15-17 / 18 and more

Part 2

  1. Write down your favourite meal.

  2. Write down your least favourite meal.

  3. Write down your  favourite drink.

  4. Write down your least favourite drink.

  5. If I have a choice, I prefer healthy food (wholesome bread, fruit, vegetables, low-fat products)
    yes / no

  6. Do you have your meals regularly? (i. e. the same number of meals in the same time every day)
    yes / no

  7. Are you  a  vegetarian?
    yes (I donít eat meat, otherwise everything) / yes (I donít eat any animal products) / no

  8. Do you smoke?
    Yes (regularly) / not at all / occasionally

  9. How many hours per week do you devote yourself to sport?
    0-2 / 3-6 / 7-10 / 11-15 / more

  10. Have you ever tried any drug  (a soft or hard drug)?
    yes / no

  11. How many hours daily do you sleep?
    5 and less / 6-8 / 9-10 / more

  12. How many hours per week do you spend watching TV?
    0-2 / 3-6 / 7-10 / 11-15 / more

  13. How many hours a week do you spend with your computer?
    0-2 / 3-6 / 7-10 / 11-15 / more

  14. Mostly, I:
    play computer games / make programmes or do homework

  15. How many hours a week do you spend preparing for school?
    0-2 / 3-6 / 7-10 / 11-15 / more

  16. Have you decided yet, what job you would like to have?
    yes / no / I have an idea, but Iím still hesitating

  17. Are you satisfied with yourself?
    yes / Essentially yes, but thereís always something to improve / no

  18. In my class collective Iím
    Very satisfied / satisfied / not satisfied / I donít care about it

Thank you for your time and patience when filling in the qestionnaire.