My Healthy Eating
(Pre-course survey)
Please complete this survey before you begin the course.
*
How did you hear about this course?
(Required.)
Email
Website
Word of mouth
Other (please specify)
*
How old are you?
(Required.)
Under 18
18-24
25-34
35-44
45-54
55-64
65+
*
What is your gender?
(Required.)
Female
Male
Other
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.
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
Vegetables
Vegetables include broccoli, spinach, bell peppers, carrots, pumpkin, and tomatoes.
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
Fruits
The Fruit Group includes any fruit (fresh, frozen, canned, dried) and 100% fruit juice.
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
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
Occasionally
2-3 days per week
Often
4 or more days per week
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.
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
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
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
Please share other topics related to healthy eating that you may be interested in.
Current Progress,
0 of 7 answered