Preventing Obesity - Health Outcomes

What is your current weight?

What is your height?

What is your waist circumference? (measure at the top of hips)

Are you currently diagnosed with any of the following health conditions?

Do you regularly accumulate 150 minutes of moderate-to-vigorous physical activity each week?

Always

Sometimes

Never

Do you participate in weight training activities at least two times each week?

Always

Sometimes

Never

How many food guide servings do you eat on an average day?

How often do you drink sugary beverages, such as pop?

Every meal

One per day

1-2 times/week

3-4 time/week

Occasionally

Never

How hard do you rank the following activities?

	Very hard	Somewhat hard	Neutral	Easy	Very Easy	Not Applicable
Walking up a flight of stairs

Playing with children

Lifting objects (eg. groceries)

Lifting heavier objects (eg. furniture)

Cooking meals at home

Avoiding fast food

Meeting food guide recommendations

Please drag and rank(1^st to 9th) the following program components in order of most beneficial:

	Drag your choices here to rank them
SMART goal setting Improvement in cooking skills Education on causes of obesity Education on health risks of obesity Education of obesity prevention Introduction of physical activity options Methods to monitor eating habits Methods to monitor physical activity Behaviour modification planning

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