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Surveys
2015
August
H
Health Outcomes Evaluation
Health Outcomes Evaluation
Health Outcomes Evaluation
0%
Exit Survey
1. Since the start of the nutrition education program, have you visited a doctor?
Yes
No
2. How has your weight changed since the start of the nutrition education program?
My weight has increased
My weight has decreased
My weight is the same
3. Is your total cholesterol value within normal range?
Yes
No
I don't know
4. Please indicate the change in your Body Mass Index (BMI) since the beginning of the nutrition education program:
0-5%
6-10%
11-15%
More than 15%
There has been no change in my BMI
5. My overall health has improved since the beginning of the nutrition education program.
Strongly disagree
Disagree
Not sure
Agree
Strongly Agree
6. Have your sleeping habits improved?
Yes
No
I don't know
7. Please specify your health goals for the upcoming year:
8. Regular exercise has contributed to my overall health improvement.
Strongly disagree
Disagree
Not sure
Agree
Strongly agree
9. My risk for obesity-related health conditions has decreased since the start of the nutrition education program.
Strongly disagree
Disagree
Not sure
Agree
Strongly agree
10. Overall, the nutrition education program has improved my health and wellness.
Strongly disagree
Disagree
Not sure
Agree
Strongly agree
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