Decision Power Healthy Start: Eating a High Fiber Diet 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".

2. Health Net Members: enter your first name (as it appears on your ID card). Non-Members enter your first name.

3. Health Net Members: enter your last name (as it appears on your ID card). Non-Members enter your last name.

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".

5. Enter your email address.

6. Eating fiber helps lower blood cholesterol levels and regulates blood sugar.

7. 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.

8. Did you learn new health information?

9. My Health Pledge: Today I pledge to add more fiber to my diet by eating more whole grain foods.

10. Please comment on your overall experience.