Year of Fruits & Veggies "Before You Start" Survey

1. "Building a Healthy North Dakota where we live, learn, work and play."

A Year of Fruits and Veggies - "Before You Start" Survey 2010

We are excited that you are going to explore the colorful world of fruits and veggies with us! Thank you for providing information to us before beginning "A Year of Fruits and Veggies." The information will be helpful to determine if the program is successful.

If you have any questions about this survey, please contact Karen Ehrens, consultant to Healthy North Dakota, at 701.223.2616 or karen@ehrensconsulting.com.

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1. How many people are employed in your business/organization/agency?

How many people are employed in your business/organization/agency? 1-49 employees

50 or more employees

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2. Do you work in a PERS-covered government agency?

Do you work in a PERS-covered government agency? Yes

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3. Thinking about what you ate yesterday, how many times did you eat potatoes (not including French fries or hashbrowns)?

Thinking about what you ate yesterday, how many times did you eat potatoes (not including French fries or hashbrowns)? None

1 time per day

2 times per day

3 times per day

4 times per day

Don’t know

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4. Thinking about what you ate yesterday, how many times did you drink 100% fruit juice or 100% vegetable juice?

Thinking about what you ate yesterday, how many times did you drink 100% fruit juice or 100% vegetable juice? None

1 time per day

2 times per day

3 times per day

4 times per day

Don’t know

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5. Thinking about what you ate yesterday, how many times did you eat fruit (fresh, frozen, canned or dried)?

Thinking about what you ate yesterday, how many times did you eat fruit (fresh, frozen, canned or dried)? None

1 time per day

2 times per day

3 times per day

4 times per day

Don’t know

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6. Thinking about what you ate yesterday, how many times did you eat fresh, frozen, canned or dried veggies (remember to include all veggies such as green leafy lettuces, black beans, baked beans, green beans, corn and orange vegetables)?

Thinking about what you ate yesterday, how many times did you eat fresh, frozen, canned or dried veggies (remember to include all veggies such as green leafy lettuces, black beans, baked beans, green beans, corn and orange vegetables)? None

1 time per day

2 times per day

3 times per day

4 times per day

Don’t know

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7. Do you hope to increase the number of fruits and vegetables you eat by participating in a Year of Fruits and Veggies?

Do you hope to increase the number of fruits and vegetables you eat by participating in a Year of Fruits and Veggies? Yes

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8. What do you hope to learn by participating in a Year of Fruits and Veggies? (check all that apply)

What do you hope to learn by participating in a Year of Fruits and Veggies? (check all that apply) How to choose fruits and veggies

How to prepare fruits and/or veggies

Where to purchase fruits and/or veggies

New recipes for fruits and/or veggies

Health benefits of eating fruits and veggies

That's it...Thank you for completing the survey!

Year of Fruits & Veggies "Before You Start" SurveyExit this survey

1. "Building a Healthy North Dakota where we live, learn, work and play."

*1. How many people are employed in your business/organization/agency?

*2. Do you work in a PERS-covered government agency?

*3. Thinking about what you ate yesterday, how many times did you eat potatoes (not including French fries or hashbrowns)?

*4. Thinking about what you ate yesterday, how many times did you drink 100% fruit juice or 100% vegetable juice?

*5. Thinking about what you ate yesterday, how many times did you eat fruit (fresh, frozen, canned or dried)?

*6. Thinking about what you ate yesterday, how many times did you eat fresh, frozen, canned or dried veggies (remember to include all veggies such as green leafy lettuces, black beans, baked beans, green beans, corn and orange vegetables)?

*7. Do you hope to increase the number of fruits and vegetables you eat by participating in a Year of Fruits and Veggies?

*8. What do you hope to learn by participating in a Year of Fruits and Veggies? (check all that apply)

Year of Fruits & Veggies "Before You Start" Survey
Exit this survey

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1. How many people are employed in your business/organization/agency?

*
2. Do you work in a PERS-covered government agency?

*
3. Thinking about what you ate yesterday, how many times did you eat potatoes (not including French fries or hashbrowns)?

*
4. Thinking about what you ate yesterday, how many times did you drink 100% fruit juice or 100% vegetable juice?

*
5. Thinking about what you ate yesterday, how many times did you eat fruit (fresh, frozen, canned or dried)?

*
6. Thinking about what you ate yesterday, how many times did you eat fresh, frozen, canned or dried veggies (remember to include all veggies such as green leafy lettuces, black beans, baked beans, green beans, corn and orange vegetables)?

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7. Do you hope to increase the number of fruits and vegetables you eat by participating in a Year of Fruits and Veggies?

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8. What do you hope to learn by participating in a Year of Fruits and Veggies? (check all that apply)