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  1. Surveys
  2. 2015
  3. October
  4. B
  5. Behavioral outcomes,
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Hello Participant,
You are invited to participate in our survey for the "Drop the Carbs" nutrition program. In this survey, approximately 50 people will be asked to complete a survey that asks questions about food intake behavior changes. It will take approximately seven 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. It is very important for us to learn your opinions. 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 Ralph Giunta by email at the email address specified below. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
Prior to this program, how many grams of "carbs" did you intake daily?
 
0-50
 
51-75
 
76-125
 
126-200 or more
 
Other
 
 
 
 
Prior to this program, how many times per week did you utilize the company cafeteria?
 
0-3
 
4-6
 
7-10
 
Other
 
 
 
 
How often had you "brown" bagged your lunch prior to this program?
 
1
 
2
 
3
 
4
 
5
 
Other
 
 
 
 
Same as previous question, but referring to your snacks and beverages?
 
 
 
Do you feel there are health benefits when considering food intake behavioral changes?
   
 
 
 
Do you believe the cost of food determines your choices?
 
 
 
How often have you "stood up"and engaged in physical activities this week?
 
0-3
 
3-6
 
7-10
 
Other
 
 
 
 
How satisfied are you with your current health?
Extremely Unsatisfied
Unsatisfied
Neutral
Satisfied
Extremely Satisfied
 
 
 
Have you met (or exceeded) the "10 minutes three times per day" activity challenge?
 
Yes
 
No