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Exit Survey
 
 
Sex
 
Yes
 
NO
 
 
 
Age
 
13
 
14
 
15
 
16
 
17
 
18
 
19
 
 
 
What do you perceive yourself to be
 
Underweight
 
Normal
 
Overweight
 
Obese

 
 
 
If you selected yes in the last question, select which of the following you are doing to improve your health/losing weight?
 
Eating the appropriate portion sizes
 
Eating healthier foods
 
Being more active, cardiovascular (eg. Running, walking, dancing, biking ect.)
 
Being more active, strength training (eg. Pushups, weight lifting, body toning, crunches ect.)
 
Having a health diary with goals, calorie count, and progress reports ect.
 
Following a diet plan (e.g weight watches)

 
 
 
do you want to improve your health?
 
yes
 
No
 
 
 
are you currently in the process of losing weight?
 
Yes
 
No
 
 
 
If you are contemplating loosing weight what are some of the setbacks that you may encounter that may hinder you from developing a healthier lifestyle?
 
Packed schedule/time consuming
 
Stress
 
Lack of support from parents/guardians
 
Lack of support from friends
 
Too many temptations
 
Not enough healthy affordable food options
 
Healthy foods are too expensive
 
None of the above, I’m in good shape
 
 
 
Do you think obesity is a problem in Tobago’s teenagers?
 
Yes
 
No
 
 
 
What do you think are some of the causes of obesity?
 
Lack of exercise
 
Bad/Unbalanced sleep routine
 
Poor eating habits
 
Genetics
 
Physiological factors
 
Taking medications/steroids

 
 
 
What types of credit cards do you have (Select all that apply)?
 
Visa
 
Mastercard
 
American Express
 
Discover
 
Diners Club