Goal/Nutrition/Activity Survey

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This survey is for Mrs. Canfield's Health classes. Please take a minute to let me know how you feel about the following items. There are NO right or wrong answers, this is simply a survey. Thanks

1

I believe setting goals are important.
- Yes but I don't really set them
- Yes, and I make sure I reach them.
- Not really.
- No, they are a waste of time.
2

My nutrition habits could use some improvement.
- Definitely, there are health concerns in my family history.
- Maybe a little bit.
- No, I think my habits are very healthy already.
- Who cares. I eat whatever I like and that's the way I like it.
3

My activity habits could use some improvement.
- Yes, definitely. I know my metabolism will be slowing down in time.
- I am usually pretty active but do need to develop better fitness habits.
- Not really, I am in sports that force me to keep active.
- No.
4

I beleive there is a connection between better nutrition/fitness and the quality of my life.
- Yes, definitely.
- Somewhat.
- Not really.
- No.
5

I believe the habits I develope now will affect the quality of my health for the rest of my life.
- Yes.
- Maybe
- No.
6

My family has a history of nutrition/fitness related issues like diabetes, high cholesterol, heart problems, etc.
- Yes.
- I am not sure.
- No.
- I am adopted so I do not know.
7

I know how to set goals and reach them.
- Yes, I set goals frequesntly.
- Somewhat, but more help would be good.
- Not really.
- No.

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Goal/Nutrition/Activity Survey

I believe setting goals are important.

My nutrition habits could use some improvement.

My activity habits could use some improvement.

I beleive there is a connection between better nutrition/fitness and the quality of my life.

I believe the habits I develope now will affect the quality of my health for the rest of my life.

My family has a history of nutrition/fitness related issues like diabetes, high cholesterol, heart problems, etc.

I know how to set goals and reach them.

Post This Quiz

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