Northampton Food and Fitness 2010 Survey
 

 
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Cooley Dickinson Hospital is conducting a survey of Northampton residents about healthy communities. It should take no more than 5-7 minutes to complete the survey. This survey will include questions about your food shopping habits, diet, physical activity, and health. The results from this survey will be used to inform Cooley Dickinson Hospital and other public health agencies of possible ways to improve the overall health of the community.

Instructions: Please fill in the survey completely and try not to skip any questions. If you see "N/A," this means "Not Applicable". In other words, it does not apply to you.

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1. Do you live in Northampton (includes Leeds and Florence)?