This free survey is powered by
Create a Survey
Surveys
2015
August
M
Mediators
Mediators
0%
Exit Survey
I understand the importance of a healthy diet
Strongly disagree
Somewhat disagree
Disagree
Neither agree nor disagree
Somewhat agree
Agree
Strongly agree
I understand the benefits of eating fruits and vegetables
Strongly disagree
Somewhat disagree
Disagree
Neither agree nor disagree
Somewhat agree
Agree
Strongly agree
Health eating reduces my risk of illness and chronic disease.
Strongly disagree
Somewhat disagree
Disagree
Neither agree nor disagree
Somewhat agree
Agree
Strongly agree
I know how to prepare healthy meals and snacks
Strongly disagree
Somewhat disagree
Disagree
Neither agree nor disagree
Somewhat agree
Agree
Strongly agree
Name 5 fruits
Name 5 vegetables
Weekly
Monthly
Quarterly
Annually
I know how to achieve my goal of being healthier
Strongly disagree
Somewhat disagree
Disagree
Neither agree nor disagree
Somewhat agree
Agree
Strongly agree
I have a strong support system to help me reach my health goals.
Strongly disagree
Somewhat disagree
Disagree
Neither agree nor disagree
Somewhat agree
Agree
Strongly agree
I know physical activity prevents obesity
Strongly disagree
Somewhat disagree
Disagree
Neither agree or disagree
Somewhat agree
Agree
Strongly agree
I feel confident that I will achieve my goals
Strongly disagree
Somewhat disagree
Disagree
Neither Disagree or agree
Somewhat agree
Agree
Strongly agree
Loading...
close
Loading...
Close
qpweb1.questionpro.net