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What is your gender?
 
Male
 
Female
 
 
 
How old are you? (years old)
 
12-13
 
14-15
 
16-17
 
18-20
 
21-23
 
24-25
 
 
 
What is your educational level?
 
P6-S1
 
S2-S3
 
S4-S5
 
S6
 
Above S6 (i.e. university/ graduates)
 
 
 
What is your weight?
 
Below 40kg
 
40kg-45kg
 
46kg-50kg
 
51kg-55kg
 
56kg-60kg
 
61kg-65kg
 
66kg-70kg
 
Above 70kg
 
 
 
Are you currently losing weight?
 
Yes (please continue to Q6)
 
No (please jump to Q11)
 
 
 
How long have you been losing weight?
 
<1 month
 
1-6 months
 
7-12 months
 
>1 year
 
 
 
What did you do to lose weight?
 
Took pills
 
Went on a diet
 
Did an operation
 
Did physical exercises
 
Other
 

 
 
 
What did you want to lose weight?
 
Be healthy
 
Influenced by peers
 
Influenced by parents
 
Influenced by the mass media
 
Out of curiousity
 
Increase the level of self-esteem
 
Follow the popular trend
 
Want to be as slim as some celebrities
 
Other
 

 
 
 
How many people you know is/are losing weight? (including peers, parents, relatives etc)
 
0-1
 
2-4
 
5-7
 
8-10
 
>10
 
 
 
What impact dd slimming bring to you?
 
Anorexia nervosa
 
Mental disorder
 
Lose more hair significantly than before
 
Be more confident
 
More healthy
 
More acceptable by peers
 
More attractive outward appearance
 
Other
 

 
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