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Do you understand the risks to your body without proper nutrition?
 
Yes
 
No
 
 
 
Do you feel that you have learned to cook for just yourself?
 
Yes
 
No
 
 
 
Do you feel that feel comfortable requesting transportation services to the supermarket to buy healthy groceries?
 
Yes
 
No
 
 
 
Do you feel that you can purchase healthy food options without assistance?
 
Yes
 
No
 
 
 
How often do you reserve a spot for lunch at the Senior Center
 
1 day a week
 
2 days a week
 
3 days a week
 
4 days a week
 
 
 
Are your family members supportive of your change towards a healthier lifestyle?
 
Yes
 
No
 
 
 
Do you enjoy trying new foods?
 
Yes
 
No
 
 
 
Does the program provide easy recipes to replicate at home?
 
Yes
 
No
 
 
 
Do you invite other seniors friends to dinner for replication of recipes cards provided by the SAM program?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Do you feel a sense of renewed energy since participating in a healthy lifestyle change?
 
Yes
 
No
 
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