Spring 2016 N-ergy Pre-test/Registration Survey

	0	1	2	3	4	5	6	7
Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes.	Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 0	Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 1	Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 2	Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 3	Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 4	Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 5	Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 6	Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 7
Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes.	Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 0	Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 1	Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 2	Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 3	Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 4	Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 5	Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 6	Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 7
8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each?	8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 0	8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 1	8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 2	8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 3	8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 4	8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 5	8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 6	8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 7

Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes.

Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 0

Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 1

Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 2

Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 3

Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 4

Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 5

Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 6

Moderate-intensity cardio or aerobic exercise (caused noticeable increase in heart rate, such as a brisk walk) for at lease 30 minutes. 7

Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes.

Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 0

Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 1

Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 2

Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 3

Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 4

Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 5

Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 6

Vigorous-intensity cardio or aerobic exercise (caused a large increase in breathing or heart rate, such as jogging) for at least 20 minutes. 7

8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each?

8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 0

8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 1

8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 2

8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 3

8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 4

8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 5

8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 6

8-10 strength training exercises (such as resistance weight machines) for 8-12 repetitions each? 7

Question Title

* 2. How many servings of fruits and vegetables do you usually have per day? (1 serving = 1 medium piece of fruit; 1/2 cup fresh, frozen, or canned fruits/veggies, 3/4 cup fruit/veggie juice; 1 cup salad greens; or 1/4 cup dried fruit)

5 or more

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* 3. On a scale of 1-5 how would you rate your level of knowledge related to nutrition and physical activity?

	Very Knowledgeable	Somewhat knowledgeable	neutral	little knowledge	No Knowledge
Nutrition	Nutrition Very Knowledgeable	Nutrition Somewhat knowledgeable	Nutrition neutral	Nutrition little knowledge	Nutrition No Knowledge
Physical Activity	Physical Activity Very Knowledgeable	Physical Activity Somewhat knowledgeable	Physical Activity neutral	Physical Activity little knowledge	Physical Activity No Knowledge

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* 4. What is your primary goal for participating in this program?(you may check more than one)

Weight loss

Manage a health condition

Increase knowledge about nutrition and physical activity

To be around others who like being healthy

Get more active

Start eating better

Have fun

Win prizes

Other (please specify)

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* 5. What is your year in school?

Freshman

Sophmore

Junior

Senior

Graduate/Doctorate

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* 6. Do you live on campus?

Yes

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* 7. How would you describe your ethnicity?

White

Black

Hispanic or Latino

Asian or Pacific Islander

American Indian or Alaska Native

Other (please specify)

Spring 2016 N-ergy Pre-test/Registration

1. Nergy Pre Test

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* 1. On how many of the last 7 days did you do?

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* 2. How many servings of fruits and vegetables do you usually have per day? (1 serving = 1 medium piece of fruit; 1/2 cup fresh, frozen, or canned fruits/veggies, 3/4 cup fruit/veggie juice; 1 cup salad greens; or 1/4 cup dried fruit)

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* 3. On a scale of 1-5 how would you rate your level of knowledge related to nutrition and physical activity?

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* 4. What is your primary goal for participating in this program?(you may check more than one)

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* 5. What is your year in school?

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* 6. Do you live on campus?

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* 7. How would you describe your ethnicity?

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* 8. Gender: