THE EFFECT OF SKIPPING BREAKFAST ON THE THE EFFECT OF SKIPPING BREAKFAST ON THE
PERFORMANCE OF STE LEARNERS IN THEIR PERFORMANCE OF STE LEARNERS IN THEIR
SUBJECTS SUBJECTS
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protecting your personal information. Any data protecting your personal information. Any data
collected through this survey will be used solely for collected through this survey will be used solely for
research purposes and will be kept confidential. Your research purposes and will be kept confidential. Your
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ensuring that individual identities remain protected. ensuring that individual identities remain protected.
1. Demographic Profile: 1. Demographic Profile:
1.1 Age: ____ 1.1 Age: ____
1.2 Sex: 1.2 Sex:
[ ] Male [ ] Non-binary [ ] Male [ ] Non-binary
[ ] Female [ ] Prefer not to say [ ] Female [ ] Prefer not to say
1.3 Grade & Section: __________ 1.3 Grade & Section: __________
2. Breakfast Habits: 2. Breakfast Habits:
How often do you eat breakfast during a typical week? How often do you eat breakfast during a typical week?
[ ] Never [ ] 4-6 days [ ] Never [ ] 4-6 days
[ ] 1-3 days [ ] Every day (7 days a week) [ ] 1-3 days [ ] Every day (7 days a week)
What do you think are the main reasons you or other What do you think are the main reasons you or other
students skip breakfast? (Select all that apply) students skip breakfast? (Select all that apply)
[ ] No available food at home [ ] Prefer to sleep in [ ] No available food at home [ ] Prefer to sleep in
instead instead
[ ] Want to lose weight [ ] Family members also [ ] Want to lose weight [ ] Family members also
skip breakfast skip breakfast
[ ] No appetite in the morning [ ] Other (please [ ] No appetite in the morning [ ] Other (please
specify) __________ specify) __________
3. Impact of Skipping Breakfast on Academic 3. Impact of Skipping Breakfast on Academic
Performance: Performance:
What is your overall academic average (or GPA) for the What is your overall academic average (or GPA) for the
third quarter? third quarter?
____ [ ] Prefer not to answer ____ [ ] Prefer not to answer
When you skip breakfast, how does it affect your ability When you skip breakfast, how does it affect your ability
to focus in class? to focus in class?
[ ] No effect [ ] Moderately reduces [ ] No effect [ ] Moderately reduces
focus focus
[ ] Slightly reduces focus [ ] Significantly reduces focus [ ] Slightly reduces focus [ ] Significantly reduces focus
Do you find it difficult to concentrate or retain information Do you find it difficult to concentrate or retain information
in class when you skip breakfast? in class when you skip breakfast?
[ ] Never [ ] Occasionally [ ] Never [ ] Occasionally
[ ] Rarely [ ] Frequently [ ] Rarely [ ] Frequently
4. Psychological and Physiological Effects of 4. Psychological and Physiological Effects of
Skipping Breakfast: Skipping Breakfast:
How would you describe your energy levels in the How would you describe your energy levels in the
morning? morning?
[ ] High energy [ ] Low energy [ ] High energy [ ] Low energy
[ ] Moderate energy [ ] Moderate energy
Does skipping breakfast cause noticeable physical Does skipping breakfast cause noticeable physical
fatigue during class or school activities? fatigue during class or school activities?
[ ] Yes [ ] No opinion [ ] Yes [ ] No opinion
[ ] No [ ] No
If you answered "Yes," how often do you experience this If you answered "Yes," how often do you experience this
physical fatigue? physical fatigue?
[ ] Rarely [ ] Frequently [ ] Rarely [ ] Frequently
[ ] Occasionally [ ] Always [ ] Occasionally [ ] Always
Does skipping breakfast increase your likelihood of Does skipping breakfast increase your likelihood of
experiencing stomach discomfort, nausea, or digestive experiencing stomach discomfort, nausea, or digestive
issues during school hours? issues during school hours?
[ ] Yes [ ] No opinion [ ] Yes [ ] No opinion
[ ] No [ ] No
If you answered "Yes," how often do you experience If you answered "Yes," how often do you experience
these symptoms? these symptoms?
[ ] Rarely [ ] Frequently [ ] Rarely [ ] Frequently
[ ] Occasionally [ ] Always [ ] Occasionally [ ] Always
How would you rate your overall mood on days when you How would you rate your overall mood on days when you
skip breakfast? skip breakfast?
[ ] Positive [ ] Negative [ ] Positive [ ] Negative
[ ] Neutral [ ] Neutral
5. General Attitudes Toward Breakfast and Its 5. General Attitudes Toward Breakfast and Its
Impact: Impact:
Do you believe that eating breakfast is important for Do you believe that eating breakfast is important for
maintaining good general health? maintaining good general health?
[ ] Yes [ ] No opinion [ ] Yes [ ] No opinion
[ ] No [ ] No
Do you believe that eating breakfast affects your class Do you believe that eating breakfast affects your class
performance during discussions? performance during discussions?
[ ] Yes [ ] No opinion [ ] Yes [ ] No opinion
[ ] No [ ] No
Do you think you can replace the benefits of eating Do you think you can replace the benefits of eating
breakfast with other meals later in the day without breakfast with other meals later in the day without
negatively affecting your health or academic negatively affecting your health or academic
performance? performance?
[ ] Yes [ ] No opinion [ ] Yes [ ] No opinion
[ ] No [ ] No
