Your Health is Wealth. Let's Feed You Right.

Your Health Matters & So Does the Food!

We want to understand the needs of our participants as it relates to what they eat and how it is prepared. More importantly, we want to know how Black Women Cooks can help you attain your goals. Your health matters. Please help us by taking this short survey.

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* 1. How healthy do you consider yourself to be?

Extremely healthy

Very healthy

Somewhat healthy

Not so healthy

Not at all healthy

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* 2. Do you have any hereditary or chronic conditions/diseases?

Asthma

Emphysema

Cancer

Cardiac Condition/ CHF

COPD

CVA(stroke)

Diabetes

Hypertension (high blood pressure)

Other (please specify)

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* 3. Are you habituated to drugs or alcohol?

Yes, I use both drugs and alcohol.

Yes, I only use drugs

Yes, I only consume alcohol

No I do not use drugs. I do not consume alcohol.

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* 4. When cooking, which process do you use to primarily prepare most of your meals?

Air-Frying

Baking

Boiling

Broiling

Crock-potting

Deep frying

Frying

Grilling

Roasting

Steaming

Stewing

Other (please specify)

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* 5. What is your "go to" beverage of choice?

Teas & Coffees

Punches & Lemonades

Fresh Fruit Juice

Water

Soda

Milk or Milk Alternatives

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* 6. How often do you exercise? How often do you engage in physical activity?

Daily

3 times a week

2 times a week

at least once a week

once in a while

never

I have a disability and it make is a bit difficulty, but I get some

I do not exercise.

Your Health is Wealth. Let's Feed You Right.

Your Health Matters & So Does the Food!

Question Title

* 1. How healthy do you consider yourself to be?

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* 2. Do you have any hereditary or chronic conditions/diseases?

Question Title

* 3. Are you habituated to drugs or alcohol?

Question Title

* 4. When cooking, which process do you use to primarily prepare most of your meals?

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* 5. What is your "go to" beverage of choice?

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* 6. How often do you exercise? How often do you engage in physical activity?

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* 7. What is your age?