This free survey is powered by QUESTIONPRO.COM
0%
Exit Survey »
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your age?
 
21-29
 
30-39
 
40-49
 
50-59
 
60-69
 
 
 
What is your highest level of education?
 
Less than High School
 
High School degree
 
More than High School
 
Associates
 
Bachelors
 
Masters
 
Doctorate
 
Trade school
 
 
 
How many family members of are in your household including yourself?
 
1
 
2-3
 
4-5
 
6-7
 
more than 7
 
 
 
What is your ethnicity?
 
African American
 
Caucasian
 
Latino
 
Asian
 
Bi-racial
 
Other
 
Do not want to answer
 
 
 
How many hours per week do you participate in moderate activity?
 
1 hour
 
2 hours
 
3-4 hours
 
4-5 hours
 
Greater than 5 hours
 
Survey Software Powered by QuestionPro Survey Software