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How satisfied are you with your current amount of yearly doctor check ups and screenings?
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
doctor check ups
screenings
 
 
 
Do you feel that you are meeting the suggested daily recommendations for your age group? (as discussed in the seminar)
 
somewhat
 
yes
 
no
 
Other
 
 
 
 
Do you feel that your nutritional and physical activity goals from the last evaluation have been met?
 
some what
 
yes
 
no
 
Other
 
 
 
 
Have you made goals for increasing daily phsyical activity?
 
yes
 
no
 
Other
 
 
 
 
Do you feel that screenings are more available at times that are convienient to you?
 
yes
 
no
 
Other
 
 
 
 
How often do you watch your nutrtion in prevention of diabetes?
 
always
 
sometimes
 
never
 
 
 
Has knowing whether you have diabetes made you more self aware of health habits
 
maybe
 
yes
 
no
 
 
 
Do you feel you understand how to prepare food that is nutritionally healthy?
 
somewhat
 
no
 
yes
 
 
 
Please state when you aim to have your next diabetes screening.
   
 
 
 
Please write a goal you would like to work on in prevention of diabetes.
   
 
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