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[狮城水库] 大家可以办我一个忙吗?

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发表于 25-9-2005 07:18:00|来自:新加坡 | 显示全部楼层 |阅读模式
<P>大家好,我现在正在做一个有关health stastics project, 我需要做一个survey. 由于时间紧迫, 所以求助大家,希望大家可以帮我这个忙, 我在这里先谢过了!survey form如下:</P>

<P ><FONT face="Times New Roman" size=3>Dear Sir/Madam,</FONT></P>
<P ><FONT size=3><FONT face="Times New Roman">                           We are a group of students conducting a survey for our statistics project regarding health related matters. We sincerely hope that you could spend 5 min of your time to fill up this survey as accurately as possible to avoid misrepresentation of data and reply directly to the sender. All information will be kept strictly confidential and anonymous. Thank you for your cooperation.</FONT></FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P  align=center><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P  align=center><FONT size=3><FONT face="Times New Roman"><U>Statistics survey on Health matters</U>.</FONT></FONT></P>
<P  align=center><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>Please type ‘Y’ where applicable.</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
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<P ><FONT size=3><FONT face="Times New Roman">1. Gender: Male          Female    </FONT></FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
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<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>2. Year of birth: </FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>3. Race: </FONT></P>
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<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>Chinese</FONT></P>
<P>
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<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>Malay</FONT></P>
<P>
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<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>Indian</FONT></P>
<P>
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<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT size=3><FONT face="Times New Roman">Eurasian  </FONT></FONT></P>
<P ><FONT face="Times New Roman" size=3>Others</FONT></P>
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<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>4. Marital Status: </FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
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<P ><FONT size=3><FONT face="Times New Roman">            Single</FONT></FONT></P>
<P>
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<TD  vAlign=top width=50>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT size=3><FONT face="Times New Roman">            Married</FONT></FONT></P>
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<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT size=3><FONT face="Times New Roman">            Divorced</FONT></FONT></P>
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<TD  vAlign=top width=49>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>5. If you have any children, pls state number of children: </FONT></P>
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<TD  vAlign=top width=32>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>6. Highest education level:  PSLE                                          N level </FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
<TABLE  cellSpacing=0 cellPadding=0 width=39 align=left border=1>

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<TD  vAlign=top width=39>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE>
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<TD  vAlign=top width=38>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT size=3><FONT face="Times New Roman"> O level                                Diploma</FONT></FONT></P>
<P ><FONT size=3><FONT face="Times New Roman">                                      </FONT></FONT></P>
<P>
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<TD  vAlign=top width=32>
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<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT size=3><FONT face="Times New Roman">           A level                                University degree  </FONT></FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>7. Average income per month: </FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
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<TD  vAlign=top width=32>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE>
<TABLE  cellSpacing=0 cellPadding=0 align=left border=1>

<TR >
<TD  vAlign=top width=32>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE>
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<TD  vAlign=top width=32>
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<P ><FONT face="Times New Roman" size=3>&lt; $2000          $2000-4000          $4001-6000         $         &gt;$8001</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>8. Are you health conscious? </FONT></P>
<P>
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<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT size=3><FONT face="Times New Roman">            Yes</FONT></FONT></P>
<P>
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<TD  vAlign=top width=50>
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<P ><FONT size=3><FONT face="Times New Roman">            No </FONT></FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
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<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>9. How many times in a week do you exercise? </FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman"><FONT size=3>10. Do you have a balanced diet?  </FONT>(6 servings of carbohydrate groups, 4 servings of fruits and veg groups, 3 servings of protein groups and minimal fat group in a day)<p></p></FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
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<TD  vAlign=top width=50>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>Yes</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
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<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>No </FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>11. How often do you visit the doctor in a year?</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
<TABLE  cellSpacing=0 cellPadding=0 align=left border=1>

<TR >
<TD  vAlign=top width=20>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE>
<TABLE  cellSpacing=0 cellPadding=0 align=left border=1>

<TR >
<TD  vAlign=top width=19>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE>
<TABLE  cellSpacing=0 cellPadding=0 align=left border=1>

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<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>0          1-3       4-6                   &gt;6</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>12. Do you have any pre-existing medical condition? Eg Diabetes, High Blood pressure, etc</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
<TABLE  cellSpacing=0 cellPadding=0 align=left border=1>

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<TD  vAlign=top width=50>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>Yes</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
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<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>No</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>13. Do you consume supplements?</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
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<P ><FONT face="Times New Roman" size=3>Yes</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
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<P ><FONT face="Times New Roman" size=3>No</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>If ‘Yes’, pls proceed to answer questions 14 &amp; 15.</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>14. What are the types of supplements you consume? (Type Y for applicable types)</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
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<TD  vAlign=top width=20>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE>
<TABLE  cellSpacing=0 cellPadding=0 align=left border=1>

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<TD  vAlign=top width=20>
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<TABLE  cellSpacing=0 cellPadding=0 align=left border=1>

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<TD  vAlign=top width=20>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>Multivitamins    Iron pills           Gingko biloba</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
<TABLE  cellSpacing=0 cellPadding=0 align=left border=1>

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<TD  vAlign=top width=20>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE>
<TABLE  cellSpacing=0 cellPadding=0 align=left border=1>

<TR >
<TD  vAlign=top width=20>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE>
<TABLE  cellSpacing=0 cellPadding=0 align=left border=1>

<TR >
<TD  vAlign=top width=20>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>Calcium Pills     Garlic Pills        Evening primrose oil</FONT></P>
<P>
<TABLE  cellSpacing=0 cellPadding=0 align=left border=1>

<TR >
<TD  vAlign=top width=20>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
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<TD  vAlign=top width=128>
<P ><p><FONT face="Times New Roman"> </FONT></p></P></TD></TR></TABLE></P>
<P ><FONT face="Times New Roman" size=3>Joint food         Royal jelly        Others:</FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P>
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<TD  vAlign=top width=91>
<P ><FONT face="Times New Roman">S$</FONT></P></TD></TR></TABLE></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><FONT face="Times New Roman" size=3>15. How much do you spend on supplements per month in average? </FONT></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P ><p><FONT face="Times New Roman" size=3> </FONT></p></P>
<P  align=center><FONT face="Times New Roman" size=3>Thank you very much for participating in this survey.</FONT></P>

<P>我的email: <a href="[email protected]" target="_blank" >[email protected]</A>     完成的survey可发至此邮箱。谢了!</P>[em17][em17][em17][em17]
发表于 25-9-2005 08:41:02|来自:新加坡 | 显示全部楼层
小狮租房
<P>[em04][em04]</P><P>buhui </P>
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