Decision Power Healthy Start: Family Fitness and Limiting Screen Time Survey
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1
. Health Net Members: enter your subscriber ID#, found on the front of your Health Net ID card. Non-members: enter "not a member".
Health Net Members: enter your subscriber ID#, found on the front of your Health Net ID card. Non-members: enter "not a member".
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2
. Health Net Members: enter your first name (as it appears on your ID card). Non-Members enter your first name.
Health Net Members: enter your first name (as it appears on your ID card). Non-Members enter your first name.
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3
. Health Net Members: enter your last name (as it appears on your ID card). Non-Members enter your last name.
Health Net Members: enter your last name (as it appears on your ID card). Non-Members enter your last name.
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4
. Health Net Members: enter the name of your employer group, or "other" if you have an individual or other health plan. Non-Members: enter "not a member".
Health Net Members: enter the name of your employer group, or "other" if you have an individual or other health plan. Non-Members: enter "not a member".
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5
. Enter your email address.
Enter your email address.
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6
. Bicycling, bowling, rollerblading, swimming and playing frisbee are fun activities for exercising as a family.
Bicycling, bowling, rollerblading, swimming and playing frisbee are fun activities for exercising as a family.
True
False
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. If you have questions about creating a healthy eating and exercise plan, tips for weight management, or any health topic, you can call Health Net for free unlimited support from a Health Coach.
If you have questions about creating a healthy eating and exercise plan, tips for weight management, or any health topic, you can call Health Net for free unlimited support from a Health Coach.
True
False
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8
. Did you learn new health information?
Did you learn new health information?
Yes, I learned new health information.
No, but it was a good reminder
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. My Health Pledge: Today I pledge to turn off the TV and participate in an outdoor activity with the family.
My Health Pledge: Today I pledge to turn off the TV and participate in an outdoor activity with the family.
Yes
10
. Please comment on your overall experience.
Please comment on your overall experience.
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