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  5. Lifestyle Habits
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Hello: You are invited to participate in our survey to gain a better understanding of what potentiatl factors may be causing a student's weight to increase during their first year attending college. In this survey, approximately 25 people will be asked to complete a survey that asks questions about their daily lifestlyes/habits. It will take approximately 5 minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Evelyn Alvarez by email at [email protected]. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
 
* Which age group do you belong to?
 
18-23
 
24-29
 
30-35
 
35-40
 
40+
 
 
 
What is your race?
*this question is optional
 
American Indian
 
Asian
 
African American
 
Native Hawaiian
 
White
 
Other
 
 
 
 
* Do you suffer from any health conditions that may affect your weight?
 
Yes
 
No
 
 
 
* Do you live:
 
On campus
 
Alone
 
With parents
 
Other
 
 
 
On a scale of 1-5 ( 1 meaning "Not at all" and 5 meaning "Absolutely" )



How healthy do you consider yourself to be when it comes to your diet?

 
* I eat fruits and vegetables every day.
-
* I drink at least an 8 oz. cup of water per day.
-
* I eat fast food such as French fries, burgers, fried chicken, etc. on a daily basis.
-
 
 
On this scale  with "Not at all" being the minimum and "Extremely" being the maximum:

 
Not at all Somewhat Neutral Very Extremely
* How stressed have you been in the past 6 months?
-
* In the past year?
-
* Has your diet changed in the past 6 months?
-
* In the past year?
-
 
 
 
* Has your diet changed due to any of the following?
 
Stress
 
Income
 
Convenience of fast food meals
 
Boredom
 
Other
 

 
 
 
* Have you gained weight due to any of the answers you selected in the previous question?
 
Yes
 
No
 
 
 
* Do you exercise?
 
Yes
 
No
 
You have come to the conclusion of this survey. Thank you for your participation!