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  1. Surveys
  2. 2015
  3. August
  4. B
  5. Behavioral Outcomes
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Exit Survey
 
 
After this program, will you be able to eat 5 servings of fruits and vegetables daily?
 
Never
 
Sometimes
 
Most of the times
 
Always
 
 
 
After this program, will you have the ability to make better food choice?
 
Never
 
Sometimes
 
Most of the times
 
Always

 
 
 
After this program, do you feel confident that you will be able to handle obstacles that led to unhealthy food choices?
 
Not at all
 
Somewhat confident
 
Moderately confident
 
Very confident
 
 
 
After this course do you feel you can recognize when you are not engaging in healthy lifestyle habits?
 
Never
 
Sometimes
 
Most of the times
 
Always
 
 
How much do you rate us on the following attributes?
Above Average Average Above Average Well Above Average
Behavioral awareness
Self- efficacy
Motivation
 
 
Comment:
   
 
 
 
Do you expect to be faced with obstacles that challenge your new behavior?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
Do you believe that changing your lifestyle at your current age will have an impact on future health outcomes?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
 
 
Do you have any suggestions for improving program so that it would better serve?
   
 
 
 
What is your gender?
 
Male
 
Female
 
Prefer not to answer