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Surveys
2015
May
H
Health Outcomes
Health Outcomes
0%
Exit Survey
At your last Dr.'s appointment, how was your health?
Poor
Average
Excellent
Your Dr. was happy with your health?
Completely disagree
Somewhat disagree
Slightly disagree
Neutral, Slightly agree
Somewhat agree
Completely agree
The Dr. is concerned of your health issues?
Strongly disagree
Somewhat disagree
Slightly disagree
Neither agree nor disagree
Slightly agree
Somewhat agree
Strongly agree
Are you concerned with your weight?
Extremely
Very
Moderately
Slightly
Not at all
Are you concerned about Diabetes or any other chronic diseases?
Always
Most of the time
About half the time
Once in a while
Never
You are happy with the steps your Dr. suggest for better health?
Completely unsatisfied
Somewhat unsatisfied
Neither satisfied nor unsatisfied
Somewhat satisfied
Completely satisfied
You are happy with how your health is improving?
Strongly disagree
Somewhat disagree
Slightly disagree
Neither agree nor disagree
Slightly agree
Somewhat agree
Strongly agree
On average how many days a week are you exercising?
1
2
3
4
5
6
7
8
9
10
I am setting goals to eat more fruits and vegetables less sugary and high fat foods
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
I am now drinking more water, and less sugary beverages
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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