Garfield County Public Health is conducting this survey to identify ways to make healthier eating easier in our community. Thank You for participating. Please contact Christine Dolan with questions. csdolan@garfield-county.com 970-665-6376

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* 1. Is eating healthier something you are interested in? With 1 being Uninterested and 5 being Interested?

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* 2. What are your struggles with understanding healthy food choices?  (Select all that apply)

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* 3. In the last 7 days how often have you eaten in these locations

  Breakfast Lunch Dinner
Home or Home Cooked
Fast Food or Take Out 
Restaurants ( served at table)
Meal Site ( extended table, congregate meals)
Convenience store ( Gas station or Quick Mart)

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* 4. What influences you most when deciding what to eat at a restaurant or fast food?

(Rank 1-5, 1 being most important and 5 being least important)

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* 5. How many pre-packaged snacks (chips, candy, donuts, cookies, etc.) do you eat per week, including those from convenience and grocery stores?

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* 6. Which meal of the day do you find is the hardest to make healthy choices?

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* 7. What  are the top 3 barriers you have to making healthier
meals at home? 

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* 8. Which of these do you eat too much of?

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* 9. I am more likely to:

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* 10. What could be done on a community level to make it easier to eat healthy? (select all that apply)

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* 11. Within the past 12 months, you worried whether your food would run out before you got money to buy more.

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* 12. Within the past 12 months, the food you bought just didn’t last and you didn’t have money to get more.

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* 13. Zip Code?

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* 14. What is your year of birth?

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* 15.  How many total in your household?

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* 16. How many children under 18 live at home?

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* 17. Where do you work?

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