E.K. Machine Operation Overhaul 2.0 Lifestyle Survey - Post Question Title * 1. In a typical week, how many days are you physically active for at least 30 minutes per day (examples: walking, jogging, swimming, biking, etc.)? 0-1 days per week 2-3 days per week 4-5 days per week 6-7 days per week Question Title * 2. In a typical week, how many days do you strength train (weight resistance/weight bearing exercise)? 0-1 days per week 2-3 days per week 4-5 days per week 6-7 days per week Question Title * 3. Do you have periodic or regular issues with muscular or skeletal pain? Yes, periodic pain Yes, regular pain No, I rarely have pain Question Title * 4. If yes to the previous question, how often do you have muscular/skeletal pain that makes performing daily work and home tasks difficult to complete? 0-1 days per week 2-3 days per week 4-5 days per week 6-7 days per week Question Title * 5. How many hours of sleep do you typically get each night? 6 hours or less 7 hours 8 hours 9 hours or more Question Title * 6. How would you rate your overall stress level? Stressors include: work, interpersonal, financial, health, etc. Low Stress Moderate Stress High Stress Question Title * 7. How often is stress a problem for you in handling things such as your health, finances, relationships or work? Never or rarely Sometimes Often Always Question Title * 8. Do you smoke cigarettes/cigars or use smokeless tobacco? Yes, I regularly use tobacco products Yes, I use tobacco products socially only No, I do not use any tobacco products I have switched to E-Cigarettes. Question Title * 9. How would you rate your overall health compared to others your age? I feel my overall health is poorer than others my age. I feel my overall health is about the same as others my age. I feel my overall health is better than others my age. Question Title * 10. How many servings of fruits and vegetables do you eat in one day? One serving = ½ cup fresh, chopped, cooked or canned vegetables; 1 cup of leafy green or a medium piece of fruit. 1 Serving 2 Servings 3 Servings 4 Servings 5 or More Servings Question Title * 11. In a typical week, how many meals are prepared or eaten outside of your home (ex: take out, fast food, sit-down restaurant, etc.)? None Less than 3 Meals (< 3) Equal to or More than 3 Meals (> 3) Question Title * 12. In a typical week, how often do you have high sugar foods (candy, baked goods) or sweetened beverages (regular soda, energy drinks, sweet tea)? 0-1 days per week 2-3 days per week 4-5 days per week 6-7 days per week Done