Nutrition Survey

Tell us about your experience

Thank you for taking the time to answer this short survey. Your input helps us improve our health and wellness offerings at the Caine Halter Family YMCA. We want to know about your interest in nutrition programming at the Y.

Question Title

* 1. How interested are you in improving your diet or nutrition?

1 - Not at all interested

3 - Somewhat interested

5 - Very interested

1 - Not at all interested

3 - Somewhat interested

5 - Very interested

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* 2. How likely are you to pay for premium nutrition services at the YMCA?

1 - Not at all likely

3 - Somewhat likely

5 - Very likely

1 - Not at all likely

3 - Somewhat likely

5 - Very likely

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* 3. Which nutrition services interest you the most (check all that apply)

One-on-one nutrition counseling sessions

Family-centered nutrition counseling sessions

Weekly small group meetings for people with similar goals

Occasional seminars and workshops

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* 4. How interested are you in family / household nutritional habits

1 - Not at all interested

3 - Somewhat interested

5 - Very interested

1 - Not at all interested

3 - Somewhat interested

5 - Very interested

Question Title

* 5. How likely would you be to attend no-cost / low-cost nutrition workshops or seminars

1 - Not at all likely

3 - Somewhat likely

5 - Very likely

1 - Not at all likely

3 - Somewhat likely

5 - Very likely

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* 6. Which nutrition topics interest you the most? (check all that apply)

Weekly Recipes Ideas

Cooking Demonstrations

Grocery Store Walkthroughs

Understanding Nutrition Labels

Chronic Disease Management Through Nutrition

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* 7. How important of a role do you believe nutrition plays in your personal exercise program?

1 - Not at all important

3 - Somewhat important

5 - Very important

1 - Not at all important

3 - Somewhat important

5 - Very important

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* 8. How important of a role do you believe nutrition plays in the management or prevention of chronic disease?

1 - Not at all important

3 - Somewhat important

5 - Very important

1 - Not at all important

3 - Somewhat important

5 - Very important

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* 9. Have you ever participated in professional nutritional services?

I am currently participating

I have participated in the past

I have never participated, but I am interested

I have never participated, and I'm not interested

Question Title

* 1. How interested are you in improving your diet or nutrition?

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* 2. How likely are you to pay for premium nutrition services at the YMCA?

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* 3. Which nutrition services interest you the most (check all that apply)

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* 4. How interested are you in family / household nutritional habits

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* 5. How likely would you be to attend no-cost / low-cost nutrition workshops or seminars

Question Title

* 6. Which nutrition topics interest you the most? (check all that apply)

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* 7. How important of a role do you believe nutrition plays in your personal exercise program?

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* 8. How important of a role do you believe nutrition plays in the management or prevention of chronic disease?

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* 9. Have you ever participated in professional nutritional services?

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* 10. Do you have any comments or feedback on what you would like to see in a nutrition program at the Y?