加拿大华人对健康及健身的认识Questionnaire（调查问卷）.PDF

1 Chinese-Canadians’ Perspectives on Health and Fitness 加拿大华人对健康及健身的认识 Questionnaire (调查问卷) Directions for Interviewees (对被采访人说明) • The purpose of this study is to enhance the understanding of how Chinese immigrants view health and fitness. The results of this study may assist professionals to conduct culturally- appropriate practice in health care and health promotion systems in Canada, particularly for Chinese-Canadians. 本科研课题的目的是提高对华人健康健身的理解。本课题的结果可以帮 助加拿大的健康健身领域为华人提供有效地服务。 • Please note that you can decline to answer any questions in this questionnaire. 您可以拒绝 回答本问卷中的任何问题 • Please fill up or select the best answers. 请填写或选择最合适的答案。 • If you are unsure about any questions, please write “unsure.” 如果您对任何问题有疑问，请 填写“unsure” (不清楚)。 • If the question does not apply to you, please write down “N/A” (not applicable). 如果某些问 题不适合您，请填写“N/A”(不适合)。 Basic Information 基本信息 1. City of your current Canadian residency 现居住的加拿大城市: ________ 1. 2. Age 年龄: ________ 2. 3. Gender 性别: Female 女____ Male 男____ 3. 4. Hometown in China (where you grew up): province/city (主要成长地):省/市: ________ 4. 5. When did you immigrate (yy/mm) 什么时间移民到加拿大（年/月）：________ 5. 6. Total time staying in Canada (yy/mm) 在加拿大居住时间共计（年/月）：________ 6. 7. Did you stay in other countries (outside mainland China, Hong Kong, Macao, Taiwan) 7. before coming to Canada? Where? How long (yy/mm)? 您是否在来加拿大之前在其它(中 国大陆，香港，澳门，或台湾以外的) 国家或地区居住过? 在哪:________________; 多长 （年/月）: ______________ 8. Job before immigration into Canada 移民加拿大之前的工作: 8. _________________________