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Eating Habits and Academic Performance of Kilicao High School Grade 12 Students: A Correlational Analysis

The document is a survey that will be given to grade 12 students at Kilicao High School in Albay, Philippines to analyze the relationship between their eating habits and academic performance. It collects information on students' demographic profiles and dietary assessments of their food consumption for breakfast, break time, lunch, and dinner. The categories of food include dairy, fruits, vegetables, proteins, carbohydrates, and drinks. It also includes a request letter to the school principal seeking permission to conduct the survey and obtain students' grades to be used in the correlational analysis study.

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rommel carl peralta
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206 views4 pages

Eating Habits and Academic Performance of Kilicao High School Grade 12 Students: A Correlational Analysis

The document is a survey that will be given to grade 12 students at Kilicao High School in Albay, Philippines to analyze the relationship between their eating habits and academic performance. It collects information on students' demographic profiles and dietary assessments of their food consumption for breakfast, break time, lunch, and dinner. The categories of food include dairy, fruits, vegetables, proteins, carbohydrates, and drinks. It also includes a request letter to the school principal seeking permission to conduct the survey and obtain students' grades to be used in the correlational analysis study.

Uploaded by

rommel carl peralta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Kilicao High School

SENIOR HIGH SCHOOL


Kilicao, Daraga, Albay

Eating Habits and Academic Performance of Kilicao High School Grade 12 Students:
A Correlational Analysis

I. Socio-Demographic Profile
Name: (Optional)____________________________________Grade Level:________________
Address:______________________ Age:____Gender:_____ Daily Allowance:______________

II. Personal Dietary Assessment


For each food listed, check which indicator best describes your food consumption in a week

Breakfast

Food Daily Thrice a Twice a Once a Not at


Week Week Week all
A. Dairy Foods
1. Skim or low fat milk (8 oz. glass)
2. Whole milk (8 oz. glass)
3. Yugort (1 cup)
4. Ice cream (1/2 cup)
5. Cheese (1/2 cup)
6. Margarine added to food or bread
7. Butter added to food or bread
B. Fruits
1. Fresh apple or pears
2. Orange
3. Fresh fruit juice (any kind)
4. Banana
5. Canned fruits (any kind)
C. Vegetables
1. Tomatoes
2. String beans
3. Carrots
4. Corn
5. Squash
6. Green Leafy Vegetables
D. Proteins
1. Eggs
2. Chicken
3. Liver
4. Beef
5. Pork
6. Fish
E. Carbohydrates
1. Rice
2. Bread
3. Root crops
1. Tea
2. Coffee
3. Beer
4. Wine
5. Liquor
6. Softdrinks
Break Time (Recess)

Food Daily Thrice a Twice a Once a Not at


Week Week Week all
A. Dairy Foods
1. Skim or low fat milk (8 oz. glass)
2. Whole milk (8 oz. glass)
3. Yugort (1 cup)
4. Ice cream (1/2 cup)
5. Cheese (1/2 cup)
6. Margarine added to food or bread
7. Butter added to food or bread
B. Fruits
1. Fresh apple or pears
2. Orange
3. Fresh fruit juice (any kind)
4. Banana
5. Canned fruits (any kind)
C. Vegetables
1. Tomatoes
2. String beans
3. Carrots
4. Corn
5. Squash
6. Green Leafy Vegetables
D. Proteins
1. Eggs
2. Chicken
3. Liver
4. Beef
5. Pork
6. Fish
E. Carbohydrates
1. Rice
2. Bread
3. Root crops
4. Tea
5. Coffee
6. Beer
7. Wine
8. Liquor
9. Softdrinks

Lunch

Food Daily Thrice a Twice a Once a Not at


Week Week Week all
A. Dairy Foods
1. Skim or low fat milk (8 oz. glass)
2. Whole milk (8 oz. glass)
3. Yugort (1 cup)
4. Ice cream (1/2 cup)
5. Cheese (1/2 cup)
6. Margarine added to food or bread
7. Butter added to food or bread
B. Fruits
1. Fresh apple or pears
2. Orange
3. Fresh fruit juice (any kind)
4. Banana
5. Canned fruits (any kind)
C. Vegetables
1. Tomatoes
2. String beans
3. Carrots
4. Corn
5. Squash
6. Green Leafy Vegetables
D. Proteins
1. Eggs
2. Chicken
3. Liver
4. Beef
5. Pork
6. Fish
E. Carbohydrates
1. Rice
2. Bread
3. Root crops
4. Tea
5. Coffee
6. Beer
7. Wine
8. Liquor
9. Softdrinks

Dinner

Food Daily Thrice a Twice a Once a Not at


Week Week Week all
A. Dairy Foods
1. Skim or low fat milk (8 oz. glass)
2. Whole milk (8 oz. glass)
3. Yugort (1 cup)
4. Ice cream (1/2 cup)
5. Cheese (1/2 cup)
6. Margarine added to food or bread
7. Butter added to food or bread
B. Fruits
1. Fresh apple or pears
2. Orange
3. Fresh fruit juice (any kind)
4. Banana
5. Canned fruits (any kind)
C. Vegetables
1. Tomatoes
2. String beans
3. Carrots
4. Corn
5. Squash
6. Green Leafy Vegetables
D. Proteins
1. Eggs
2. Chicken
3. Liver
4. Beef
5. Pork
6. Fish
E. Carbohydrates
1. Rice
2. Bread
3. Root crops
4. Tea
5. Coffee
6. Beer
7. Wine
8. Liquor
9. Softdrinks

---------------------------------------------------------------Thank You!-------------------------------------------------
Kilicao High School
SENIOR HIGH SCHOOL
Kilicao, Daraga, Albay

September 13, 2019

ROSANA M. NIMO
Principal
Kilicao High School
Kilicao, Daraga, Albay

Dear Ma’am,

Greetings!

The undersigned would like to ask permission from your office to allow us to conduct a
survey for our thesis entitled “Eating Habits and Academic Performance of Kilicao High
School Grade 12 Students: A Correlational Analysis”. We would like also to request to allow
us to copy the grades of Grade 12 students to be used in the study. Confidentiality will be
observed on the said study.

Hoping for your usual support towards this humble request.

Thank you very much and God bless!

Very truly yours,

______________________

Noted by:

RALPH MORTEGA
Research Teacher

Approved:

ROSANA M. NIMO
Principal

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