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  1. Surveys
  2. 2014
  3. May
  4. B
  5. Behavioral Outcomes
 
 
How often do you visit the doctor?
 
Once a year or when sick
 
Once every 2 years
 
Only when sick
 
Once every 3 years or more
 
Never
 
 
 
How often do you exercise?
 
Everyday
 
4-6 days per week
 
1-3 days per week
 
Twice a month
 
Never

 
 
 
How often do you eat fast foods?
 
Every day
 
Every week
 
Every 2 - 3 weeks
 
Every month
 
Every 2 - 3 months
 
Every 4 - 6 months
 
Once or twice a year
 
 
 
How would you rate your level of satisfaction with your health?
 
Highly satisfied
 
Somewhat satisfied
 
Neutral
 
Somewhat dissatisfied
 
Highly dissatisfied
 
 
How much would you rate the taste of the following vegetables ?
Well Below Average Below Average Average Above Average Well Above Average
Broccoli
Corn
Green beans
Carrots
Zucchini
Tomatoes
 
 
Comment:
   
 
 
 
How likely are you to add more fruits to your diet?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
How likely is it that you have health concerns?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
Do you work or do you have children?
   
 
 
 
What is your gender?
 
Male
 
Female
 
Prefer not to answer