My Healthy Eating(Pre-course survey)

Question Title

* How did you hear about this course?

Website

Word of mouth

Other (please specify)

Question Title

* How old are you?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* What is your gender?

Female

Male

Other

Question Title

* Now let's look into what you're currently eating.
How often do you eat from the following food groups?

	Never/Rarely 0-1 day per week	Occasionally 2-3 days per week	Often 4 or more days per week	Always 7 days a week
Wholegrain foods Examples of whole grains include whole-wheat flour, bulgur (cracked wheat), oatmeal, whole cornmeal, whole-wheat breads, whole-wheat pastas, and brown rice.	Wholegrain foods Examples of whole grains include whole-wheat flour, bulgur (cracked wheat), oatmeal, whole cornmeal, whole-wheat breads, whole-wheat pastas, and brown rice. Never/Rarely 0-1 day per week	Wholegrain foods Examples of whole grains include whole-wheat flour, bulgur (cracked wheat), oatmeal, whole cornmeal, whole-wheat breads, whole-wheat pastas, and brown rice. Occasionally 2-3 days per week	Wholegrain foods Examples of whole grains include whole-wheat flour, bulgur (cracked wheat), oatmeal, whole cornmeal, whole-wheat breads, whole-wheat pastas, and brown rice. Often 4 or more days per week	Wholegrain foods Examples of whole grains include whole-wheat flour, bulgur (cracked wheat), oatmeal, whole cornmeal, whole-wheat breads, whole-wheat pastas, and brown rice. Always 7 days a week
Vegetables Vegetables include broccoli, spinach, bell peppers, carrots, pumpkin, and tomatoes.	Vegetables Vegetables include broccoli, spinach, bell peppers, carrots, pumpkin, and tomatoes. Never/Rarely 0-1 day per week	Vegetables Vegetables include broccoli, spinach, bell peppers, carrots, pumpkin, and tomatoes. Occasionally 2-3 days per week	Vegetables Vegetables include broccoli, spinach, bell peppers, carrots, pumpkin, and tomatoes. Often 4 or more days per week	Vegetables Vegetables include broccoli, spinach, bell peppers, carrots, pumpkin, and tomatoes. Always 7 days a week
Fruits The Fruit Group includes any fruit (fresh, frozen, canned, dried) and 100% fruit juice.	Fruits The Fruit Group includes any fruit (fresh, frozen, canned, dried) and 100% fruit juice. Never/Rarely 0-1 day per week	Fruits The Fruit Group includes any fruit (fresh, frozen, canned, dried) and 100% fruit juice. Occasionally 2-3 days per week	Fruits The Fruit Group includes any fruit (fresh, frozen, canned, dried) and 100% fruit juice. Often 4 or more days per week	Fruits The Fruit Group includes any fruit (fresh, frozen, canned, dried) and 100% fruit juice. Always 7 days a week
Protein The Protein Foods Group includes seafood; meat, poultry, and eggs; beans, peas, and lentils; and nuts, seeds, and soy products.	Protein The Protein Foods Group includes seafood; meat, poultry, and eggs; beans, peas, and lentils; and nuts, seeds, and soy products. Never/Rarely 0-1 day per week	Protein The Protein Foods Group includes seafood; meat, poultry, and eggs; beans, peas, and lentils; and nuts, seeds, and soy products. Occasionally 2-3 days per week	Protein The Protein Foods Group includes seafood; meat, poultry, and eggs; beans, peas, and lentils; and nuts, seeds, and soy products. Often 4 or more days per week	Protein The Protein Foods Group includes seafood; meat, poultry, and eggs; beans, peas, and lentils; and nuts, seeds, and soy products. Always 7 days a week
Dairy The Dairy Group includes dairy milk and yogurt, cheese, lactose-free versions, and fortified soy milk (soy beverage) and soy yogurt.	Dairy The Dairy Group includes dairy milk and yogurt, cheese, lactose-free versions, and fortified soy milk (soy beverage) and soy yogurt. Never/Rarely 0-1 day per week	Dairy The Dairy Group includes dairy milk and yogurt, cheese, lactose-free versions, and fortified soy milk (soy beverage) and soy yogurt. Occasionally 2-3 days per week	Dairy The Dairy Group includes dairy milk and yogurt, cheese, lactose-free versions, and fortified soy milk (soy beverage) and soy yogurt. Often 4 or more days per week	Dairy The Dairy Group includes dairy milk and yogurt, cheese, lactose-free versions, and fortified soy milk (soy beverage) and soy yogurt. Always 7 days a week

Question Title

* What would you like to learn more about?
Select all that apply

Meal planning

Dining out/take out

Food preparation

Grocery shopping tips

Healthy beverage choices

Healthy eating on a budget

Healthy snack ideas

Kitchen timesavers

Vegetarian meals

Question Title

* How many times per week do you work out or exercise for 30 minutes or more?
For example walking, tennis, bike riding.

I never exercise or work out

Less than once per week

Once per week

Several times per week

Everyday of the week

My Healthy Eating
(Pre-course survey)

Please complete this survey before you begin the course.

Question Title

* How did you hear about this course?

Question Title

* How old are you?

Question Title

* What is your gender?

Question Title

* Now let's look into what you're currently eating.
How often do you eat from the following food groups?

Question Title

* What would you like to learn more about?
Select all that apply

Question Title

* How many times per week do you work out or exercise for 30 minutes or more?
For example walking, tennis, bike riding.

Question Title

* Please share other topics related to healthy eating that you may be interested in.

Question Title

* How did you hear about this course?

Question Title

* How old are you?

Question Title

* What is your gender?

Question Title

* Now let's look into what you're currently eating.How often do you eat from the following food groups?

Question Title

* What would you like to learn more about?Select all that apply

Question Title

* How many times per week do you work out or exercise for 30 minutes or more?For example walking, tennis, bike riding.

Question Title

* Please share other topics related to healthy eating that you may be interested in.

* Now let's look into what you're currently eating.
How often do you eat from the following food groups?

* What would you like to learn more about?
Select all that apply

* How many times per week do you work out or exercise for 30 minutes or more?
For example walking, tennis, bike riding.