1. PERS Fruit and Veggie Challenge Survey Instructions

We are interested to learn more about your current fruit and vegetable consumption and the availability of fruits and vegetables to you. These questions are the same as the ones you answered previously, with a few additions. The project partners will use this information to evaluate the success of this program and to design additional nutrition education materials and programs in the future.

We would like to invite you to take the survey. It will take you about 5-10 minutes to complete this survey. Your identity will not be revealed in the survey results. Only group comparisons will be made and reported in summary form. Your participation is entirely voluntary, and you may withdraw from participation any time. If you have any questions about the survey or would like a copy of the summarized results, please contact Julie Garden-Robinson at 701-231-7187 or email julie.garden-robinson@ndsu.edu. If you have questions about the rights of human research subjects, you should contact the NDSU IRB office, (701)231-8908.

At the end of the survey, click "DONE."

Thank you for participating in this program!

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* 1. In the past week, how often did you drink fruit juices such as orange, grapefruit , or tomato? (Mark one)

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* 2. In the past week, not counting juice, how often did you eat fruit? (Mark one)

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* 3. In the past week, how often did you eat green salad? (Mark one)

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* 4. In the past week, how often did you eat potatoes NOT including french fries, fried potatoes, or potato chips? (Mark one)

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* 5. In the past week, how often did you eat carrots? (Mark one)

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* 6. Consider what you ate in the past week. Not counting carrots, potatoes, or salad, how many servings of vegetables did you eat?

Example: A serving of vegetables at both lunch and dinner would be two servings.

One serving is 1/2 cup cut-up fresh, frozen or canned vegetables, 3/4 cup 100% juice, or 1 cup leafy greens.

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* 7. Think about your previous answers. On average, about how many TOTAL servings of FRUITS AND VEGETABLES did you consume daily in the past week?

(One serving is 1/2 cup cut-up fresh, frozen or canned fruits or vegetables, 3/4 cup 100% juice, 1 cup leafy greens, 1 medium piece of fruit, 1/4 cup dried fruit)

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* 8. Think about the average number of servings of fruits and vegetables you are eating daily compared with a month ago. Which of the following is/are true of you? (Mark ALL that apply)

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* 9. Think about the COLORS of your fruit and vegetable choices. Which of the following is/are true of your selections? (Mark ALL that apply)

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* 10. Are you trying to eat at least 5 servings of fruits and vegetables each day?

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* 11. How confident are you that you can eat at least 5 servings of fruits and vegetables each day?

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* 12. How are fruits and vegetables available to you at your workplace? (Mark all that apply)

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* 13. In the past week, which of these describes what happened at your office at "break time"? (Mark all that apply)

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* 14. In the past week, what types of snacks did you typically keep at your desk/work area? (Mark all that apply)

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* 15. How often do you buy candy bars, chips, pretzels and similar foods (NOT including soda pop) from vending machines at work? (Mark one)

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* 16. Please indicate your gender.

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* 17. Are you:

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* 18. What is your age?

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* 20. On a scale of 1 to 5 (5 = most helpful), how helpful was the "What Color is Your Food" class?

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* 21. On a scale of 1 to 5 (5= most helpful), how helpful were the email messages?

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* 22. On a scale of 1 to 5 (5 = most helpful), how helpful was the ending class?

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* 23. On a scale of 1 to 5 (5 = very likely), how likely would you be to participate in another worksite wellness program?

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* 24. Please share any overall comments about the program. Thank you for participating!

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