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  1. Surveys
  2. 2017
  3. May
  4. I
  5. Individual Health Assessment
0%
Exit Survey
 
 
On average how much water do you drink each day excluding tea and coffee?
 
0 - I don't drink any water aside from in my tea/coffee
 
2 -3 glasses 
 
4-5 glasses
 
6-7 classes
 
8+ - I drink a lot of water

 
 
 
Which best describes your intake of junk food, fizzy drinks and/or alchohol
 
7 days - every day, I love my junk food and alcohol
 
4-5 days - I try to have a few healthy days each week
 
2 - 3 days - I try and eat well during the weaken n not worry on the weekend
 
 
 
During your week how many days do you have your recommended serve of fruit (2) and veg (5)?
 
7 days - I am a very healthy eater
 
5-6 days
 
4-5 days
 
2-3 days
 
0-1 days - my diet is quite poor
 
 
 
On a scale of 1-10 how would you rate your energy levels?
 
0-1 - little to no energy
 
2
 
3
 
4
 
5
 
6
 
7
 
8
 
9-10 - loads ov evergy
 
 
 
What would you like to achieve during this challenge?
   
 
 
 
On average how many hours of sleep do you get each night?
 
 
 
Over the past week how many hours have you spent enjoying your favourite hobby?
 
0 - I don't have time for hobbies
 
1 -2 hour - sometimes I get time for myself
 
3-4 - I need to have time for myself

 
 
 
Please select the number that best describes how much stress you have been experiencing over the past 4 weeks, including today?
 
 
 
On average, how many times per week do you exercise?
 
7 days
 
6 days
 
5 days
 
4 days
 
3 days
 
2 days
 
1 day
 
Sometimes
 
 
 
In general would you say your health is, including any physical or mental tension, headaches or physical pain?