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* 1. My age category is:

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* 2. My gender is:

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* 3. What is your team division?

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* 4. How would you describe your general health?

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* 5. What fitness facilities are you a member of?

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* 6. How frequently do you utilize the Jamestown area's pedestrian and trail systems for recreation or transportation usage?

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* 7. What is your BMI? (Visit http://www.nhlbi.nih.gov/guidelines/obesity/BMI/bmicalc.htm to enter your height and weight).

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* 8. What is an appropriate BMI?

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* 9. Have you had your blood pressure checked in the past year? What was your blood pressure reading?

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* 10. What is the recommended blood pressure measurement for adults?

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* 11. Have you had your total cholesterol checked in the past year? What was your total cholesterol?

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* 12. What is the recommended total cholesterol level of adults?

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* 13. Have you had your fasting blood glucose checked in the past year? If so, what was it?

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* 14. What is the recommended blood glucose level for adults?

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* 15. What is the minimum recommended number of minutes of exercise to accumulate in one week?

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* 16. On average, over the past 30 days, how many days per week did you get a minimum of 30 minutes of moderate intensity exercise such as walking?

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* 17. On average, over the past 30 days, how many days per week did you get a minimum of 20 minutes of vigorous intensity exercise which made you breathe quite hard and sweat?

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* 18. On average, over the past 30 days, how many servings of fruits did you have per day? (Serving size is 1/2 cup or one piece of fruit the size of a tennis ball).

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* 19. On average, over the past 30 days, how many servings of vegetables did you have per day? (Serving size is 1/2 cup)

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* 20. On average, how many times per week did you eat a meal prepared outside of the home? (Include cafeteria, fast food, and dine-in restaurants)

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* 21. How often do you feel overwhelmed or unable to cope with the pace of your life?

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* 22. Do you experience sleeplessness or interrupted sleep on a regular basis?

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* 23. Do you experience physical tension on a regular basis?

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* 24. How many hours of sleep do you average per night?

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* 25. During the past 30 days, how often have you used a tobacco product?

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* 26. How often are you exposed to secondhand smoke?

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* 27. Where are you exposed to secondhand smoke? (Please check all that apply)

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* 28. Over the past 8 weeks, have you quit using tobacco products?

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* 29. Was weight loss a goal for you in the NYNY Wellness Challenge?

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* 30. How much weight, if any, did you lose during the challenge?

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* 31. Indicate lifestyle behaviors that you practice regularly (Check all that apply)

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* 32. Do you face any of these challenges toward making and maintaining a healthier lifestyle? (Check all that apply)

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* 33. How has your participation in this challenge effected any family habits?

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* 34. How likely are you to participate in future New Year New You challenges?

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* 35. What worked well for you in this year's challenge?

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* 36. What could be better?

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