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Why did you start the Heuser Health program?
   
 
 
 
How long have you participated in the Heuser Health program?
   
 
 
 
What makes you want to stay with the Heuser Health program?
   
 
 
 
What does a typical workday look like?
   
 
 
 
What do you like most about the program?
   
 
 
 
Do you have any concerns and/or complaints about the program?
   
 
 
 
Please indicate if you have been diagnosed with one of the following conditions. (Check all that apply.)
 
Osteoarthritis
 
Diabetes]
 
Heart Disease
 
None of these

 
 
 
Do you regularly accumulate 30 minutes or more of moderate to vigorous physical activity at least 5 days a week?
 
Yes
 
No
 
 
 
How much of your total activity occurs during work time (including the commute)?
 
None
 
Some
 
Most
 
 
 
How
many servings of vegetables (including fresh, frozen, and canned) do you
usually eat each day?
 
One
 
Two
 
Three
 
Four
 
Five or More
 
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