This free survey is powered by
Create a Survey
Surveys
2015
May
D
Dietary and Physical Activity Habits
Dietary and Physical Activity Habits
Diet and Physical Activity Habits
0%
Exit Survey
During the past week how many times did you cook breakfast?
0 times
1-2 times
3-4 times
5 -7 times
During the past week how often did you cook lunch?
0 times
1-2 times
3-4 times
5-7 times
During the past week how often did you cook supper?
0 times
1-2 times
3-5 times
5-7 times
How many times did you eat fast food in the last 14 days?
o times
1-2 times
3-4 times
5 or more times
Yesterday you ate:
Over 7 servings of vegetables and fruit
4-5 servings of vegetables and fruit
2-3 servings of vegetables and fruit
1 serving of vegetables and fruit
no vegetables and fruit
Yesterday:
Every meal was cooked at home
Two meals were cooked at home
one meals was cooked at home
no meals were cooked at home
Where you physically active yesterday?
Yes
No
How many minutes of physical activity did you accumulate in the past week?
How satisfied are you with the following:
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Ability to shop for healthy foods
Ability to prepare healthy snacks
Ability to cook healthy meals at home
The quality and taste of the meals you cook
How important is the following:
Cooking meals at home
Eating less fast food
Eating more vegetables and fruits
Decreasing the amount of TV being watched
Being active everyday
Loading...
close
Loading...
Close
qprun1.questionpro.net