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* 1. how many times did you have full sugar fizzy drinks this week?

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* 2. how many times did you have diet fizzy drinks this week to?

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i We adjusted the number you entered based on the slider’s scale.

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* 3. how many times did you have fruit juice this week?

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i We adjusted the number you entered based on the slider’s scale.

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* 4. How many times did you eat takeaways or fast foods this week?

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* 5. How many times did you eat bread/carbs this week?

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i We adjusted the number you entered based on the slider’s scale.

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* 6. How many times a day do you eat sweets (like chocolates, candy, cookies, etc.)?

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i We adjusted the number you entered based on the slider’s scale.

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* 7. How many times per week do you exercise or work out?

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* 8. In the past 30 days, how many times did you exercise for at least 30 minutes?

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* 9. About how many cigarettes do you smoke in a typical day?

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* 10. How many days a week do you drink alcohol? 

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* 11. When you drink alcohol, how many drinks do you usually have? (1 drink=1 can of beer or a small glass of wine)? 

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* 12. Do you have any injuries that we ought to know about?

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* 13. If yes, what might that be?

Over the past 2 weeks, how often have you been bothered by any of the following problems?

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* 14. Having little interest or pleasure in doing things

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* 15. Feeling down, depressed, or hopeless 

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* 16. Having trouble falling or staying asleep, or sleeping too much

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* 17. Feeling tired or having little energy

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* 18. Having a poor appetite or overeating

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* 19. Feeling bad about yourself — or that you are a failure or have let yourself or your family down

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* 20. Having trouble concentrating on things, such as reading the newspaper or watching television

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* 21. Moving or speaking so slowly that other people could have noticed? Or the opposite being so fidgety or restless that you have been moving around a lot more than usual

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* 22. Having thoughts that you would be better off dead or of hurting yourself in some way   

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* 23. How difficult have any of these problems above made it for you to do your work, take care of things at home, or get along with other people?

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* 24. How did you hear about this position?

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* 25. On your first day at BBM, did you know anyone else in your group?

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* 26. Please leave your name/email if you'd like for us to contact you (optional)

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