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Hello:
You are invited to participate in our Community Health Assessment Survey. In this survey, you will be asked about your overall health and well-being, as it relates to the Army Performance Triad. It will take approximately 10-15 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. If you feel uncomfortable answering any questions, you can withdraw from the survey at any point. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate (summary) form. 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 1LT Joanna Moore, Kirk US Army Health Clinic Performance Triad Action Officer at (410) 278-1773 or by email at [email protected].
Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below. |
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| How often do you exercise at least 30 minutes per day? |
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| How often do you get at least 30 minutes of moderate cardio exercise per week (i.e. brisk walking, aerobics, casual cycling, swimming)? |
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| How often do you get at least 30 minutes of intense cardio exercise per week (i.e. crossfit, spin class, boot camp, running, etc.)? |
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| How often do you conduct strength building exercise per week (i.e. weight lifting, body pump, resistance training)? |
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| On average, how much sleep do you get per night? |
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| On average, how many servings of fruits and vegetables do you eat daily? |
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| On average, how many servings of lean protein do you eat per day (i.e. fish, eggs, chicken, turkey-based meat, beans, etc.)? |
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| On average, how much water do you consume on a daily basis? |
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| Are you familiar with the Army Surgeon General's Performance Traid initiative (Sleep, Activity, Nutrition)? |
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| Please drag and drop (1st to 10rd) the following in order of how likely you would be to attend/participate in: |
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| | Monthly 2-3 mile walks Monthly 3-5 mile runs Class on nutrition Class on fitness/exercise Class on sleep improvement Installation/Organization Slim Down Challenge Monthly fitness class/bootcamp at the gym Class on smoking cessation Bike to Work Day Weekly water aerobics class (during summer months)
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