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1. How would you rate your overall health?

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2. I have stopped doing certain activities because I am afraid of falling.

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3. I am under a doctor's care for chronic health conditions (arthritis, diabetes, depression, etc.)

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4. I am taking steps to improve my overall wellness.

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5. I feel good about my emotional health.

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6. On a scale from 0-5, how interested are you in participating in any health and wellness programming? (0 being not at all, 5 being very much interested)

0 5
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i We adjusted the number you entered based on the slider’s scale.

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7. Are you interested in participating or learning more about any of the following (please mark all that applies).

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8. Are you comfortable with using technology to participate in health and wellness programs?

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9. How can Thrive Alliance help you improve your overall health and wellness?

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10. What county do you reside in?

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11. How old you are today?

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12. If you would like to be contacted in regards to health and wellness programming that Thrive Alliance offers, please leave your name and contact information. 

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13. Any additional comments.

0 of 13 answered
 

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