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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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