Live Well Lithgow 2009 Survey

Live Well Lithgow 2009

1. Default Section

The Live Well Lithgow challenge is now over!

To help us determine how successful the program has been in encouraging healthier habits, please provide us with your feedback.

Complete the following short questionnaire to go into the draw to win one of two fabulous prizes.

Entries close on Monday 21 December 2009.

1. After the Live Well Lithgow Healthy Lifestyle Challenge..

	Yes	No
Do you know more about living a healthier life?	After the Live Well Lithgow Healthy Lifestyle Challenge.. Do you know more about living a healthier life? Yes	No
Have you increased your consumption of fruit and vegetables?	Have you increased your consumption of fruit and vegetables? Yes	No
Have you reduced your consumption of 'sometimes' foods like sweets and fast food?	Have you reduced your consumption of 'sometimes' foods like sweets and fast food? Yes	No
Are you more active on a day-to-day basis?	Are you more active on a day-to-day basis? Yes	No
Will you continue to practice a healthier lifestyle in the future?	Will you continue to practice a healthier lifestyle in the future? Yes	No
Do you feel healthier?	Do you feel healthier? Yes	No

2. Would you like to see any of the following activities or events repeated in Lithgow 2010? (tick as many as you like)

Would you like to see any of the following activities or events repeated in Lithgow 2010? (tick as many as you like) 12-week healthy lifestyle challenge A shorter 4 week challenge Healthy Lifestyle Expo Information sessions with a Dietitian Weekly walking groups	Fresh Produce Markets Swimming pool Open Day Bushwalks and Heritage walks Cycling groups Sport Club Open Days
Other (please specify)

3. Do you have any more comments or feedback that you would like to give about the Live Well Lithgow healthy lifestyle Challenge?

Do you have any more comments or feedback that you would like to give about the Live Well Lithgow healthy lifestyle Challenge?

4. To enter the PRIZE DRAW, please provide the following details:

To enter the PRIZE DRAW, please provide the following details: Name:
Contact No:

Thank you for your time and your feedback.

To submit your questionnaire please click on the 'Done' button below.

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