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Since I have been a participant of this nutrition education program:
My BMI has decreased by:
 
0-5%
 
6-10%
 
11-15%
 
16-20%
 
21-25%
 
26-30%
 
31% or more
 
 
 
My weight has decreased
 
0-5 lbs
 
6-10 lbs
 
11-15 lbs
 
16-20 lbs
 
21-25 lbs
 
26-30 lbs
 
31 + lbs
 
 
 
My overall health as increased or stayed the same
 
Strongly disagree
 
Somewhat disagree
 
Slightly disagree
 
Neither agree nor disagree
 
Slightly agree
 
Somewhat agree
 
Strongly agree
 
 
 
I have visited my physician regarding my health status
 
Yes
 
No
 
 
 
I am no longer a threat of developing a chronic disease or illness (diabetes, heart disease)
 
Do not agree
 
Somewhat agree
 
Completely agree
 
 
 
I have increased energy
 
Do not agree
 
Somewhat agree
 
Completely agree
 
 
 
I exercise at least 150 minutes a week
 
Do not agree
 
Somewhat agree
 
Completely agree
 
 
 
I am teaching my family, friends, and community members to live healthy by promoting healthy eating
 
A very great deal
 
A great deal
 
Quite a bit
 
Moderately
 
Somewhat
 
A little bit
 
A tiny bit
 
About the same
 
 
 
I have learned to set realistic goals to meet my health needs
 
A very great deal
 
A great deal
 
Quite a bit
 
Moderately
 
Somewhat
 
A little bit
 
A tiny bit
 
About the same
 
 
 
In the next year my healthy lifestyle goal is to...
   
 
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