Live Healthy Simply Wants to Know About YOU!
Exit this survey
1
. What is your gender?
What is your gender?
Female
Male
*
2
. How old are you?
How old are you?
Under 18
18-24
25-32
33-40
41-50
51+
3
. Which of the following best describes your current work situation?
Which of the following best describes your current work situation?
Self employed
Employed full time
Employed part time
Employed on a casual basis
Student
Retired
4
. Which best describes your diet - Please tick all applicable
Which best describes your diet - Please tick all applicable
Paleo
Omnivore
Flexitarian - I favor vegetarian food but I'm not a vegetarian
Pesitarian - I eat a vegetarian diet aside from fish
I eat white meat, no red meat
Vegetarian
Vegan - Eats honey
Vegan - Avoids honey
Raw Food Vegan
Gluten Free
Wheat Free
Dairy Free
Soy Free
Sugar Free
Nut Free
Other (please specify)
5
. In what ways would you like to improve your health?
In what ways would you like to improve your health?
Higher energy levels
Stop suffering from headaches/migrains
Sleep better
Clearer skin
Lose weight
Increase fitness
Improve digestion
Stress management
Other (please specify)
6
. What is holding you back from improving in these areas?
What is holding you back from improving in these areas?
Time
Money
Lack of organisation and planning
Lack of knowledge
Dislike of cooking
Lack of cooking skills
Unsure of where to begin
Unsupportive environment
Other (please specify)
7
. If there was an online program that would help you address these issues, how likely is it that you would take part in the program?
If there was an online program that would help you address these issues, how likely is it that you would take part in the program?
Very likely
Likely
Unsure
Unlikely
Would not purchase
8
. How do you prefer to take in information?
How do you prefer to take in information?
Videos
Email
Online group environment
Ebooks
Webinars
Podcasts
Blog post
In person one on one
Other (please specify)
*
9
. How much would you pay for this type of program?
How much would you pay for this type of program?
Under $20
$20- $40
$40-$60
$60-$80
$80-$100
$100 +
Would not purchase program
Powered by
SurveyMonkey
Check out our
sample surveys
and create your own now!
Javascript is required for this site to function, please enable.