Physical Activity Survey

LiveWell Garfield County is part of the LiveWell Colorado statewide initiative to promote healthy eating and active living (HEAL) in our local communities. All Garfield County residents are invited to share their accomplishments and struggles with healthy eating and active living by completing this survey.

The survey is meant to help the LiveWell project and the participants identify areas of HEAL that they struggle with, how they are successful, and what they can do to make a small change toward a more healthy and active life. Thank you for taking the time to complete this survey. For more information, go to www.livewellcolorado.org. Please contact Christine Singleton and Sara Brainard at Garfield County Public Health if you have interest in the LiveWell project by email at livewell@garfield-county.com.

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* 1. List 3 things you consider to be part of a physically ACTIVE life:

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* 2. List 3 things you consider to be part of a physically INACTIVE life:

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* 3. Where would you rate your physical activity on this scale from 1-10?

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* 4. Why are you not 2 points lower, what are you doing right?

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* 5. Why are you not 2 points higher, what is your challenge?

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* 6. What is 1 thing you are willing to do to move your rating higher up the scale?

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