Healthy Choice Challenge Question Title * 1. How did you hear about Healthy Choice Challenge? Question Title * 2. What is your first and last name? Question Title * 3. What is your mailing address? Name: * Address: * City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Country: * Email Address: Phone Number: Question Title * 4. Record your activities. Monday Tuesday Wednesday Thursday Friday Saturday Sunday Week 1 more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 1 Monday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 1 Tuesday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 1 Wednesday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 1 Thursday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 1 Friday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 1 Saturday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 1 Sunday menu Week 2 more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 2 Monday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 2 Tuesday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 2 Wednesday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 2 Thursday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 2 Friday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 2 Saturday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 2 Sunday menu Week 3 more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 3 Monday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 3 Tuesday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 3 Wednesday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 3 Thursday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 3 Friday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 3 Saturday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 3 Sunday menu Week 4 more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 4 Monday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 4 Tuesday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 4 Wednesday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 4 Thursday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 4 Friday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 4 Saturday menu more fruit more vegies more water more low fat milk no sugary drinks walking hiking running playing sports less television less computer Week 4 Sunday menu Question Title * 5. Please rate your experience of Healthy Choice Challenge. Very bad Bad Neutral Good Very good Question Title * 6. Based on your rating, what did you like or dislike most about the challenge? Question Title * 7. Please let us know how can we improve the Healthy Choice Challenge? Done