Thank you for signing up to participate in the Ohlone Fall into Wellness Challenge.  The goal of this campaign is to empower you to examine various "dimensions of wellness," and to build healthy habits that can have a positive impact on your life at Ohlone College and beyond. 

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* 1. What is your name?

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* 2. What is your email address?

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* 3. Have you had a chance to sign up for our text  message alerts yet?  To receive text message campaign reminders and tips for healthy living, please be sure to text "OhloneWellnessChallenge" to 31996 to be subscribed to our alerts.  Text alerts will be sent twice a week during the 5 week duration of the campaign. 

If you would like us to sign you up, please enter your text-enabled cell phone number to be subscribed to the text alerts. We will only use this number during the campaign period and will not share this information with anyone else.

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* 4. What is your primary affiliation at Ohlone?

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* 5. What is your gender?

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* 6. What is your age?

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* 7. Please share with us how you are doing in the five dimensions of wellness that will be the focus on this campaign.  There are no right or wrong answers; your responses will help us measure the impact of the challenge and provide ideas on how to improve wellness programming on this campus.

  Highly disagree Disagree Agree Highly agree
I get at least 30 minutes of moderately intense physical activity most days of the week 
I get 7-9 hours of sleep each night
I have a good relationship with my family 
I have friends at school or work from whom I gain support and with whom I talk regularly
I can cope with life's ups and downs in a healthy manner 
I am satisfied that I am performing to the best of my ability 
I believe my education is preparing me for what I would like to accomplish in life
I am interested in the viewpoint of others, even if it is very different from my own
I make a concerted effort to live within my means 
I know the difference between needs and wants, and my spending practices reflect this difference

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* 8. How often do you feel anxious or stressed about your financial situation?

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* 9. Please indicate your planned level of investment on improving  the following dimensions of wellness during this campaign.

  I will not have time to focus on this right now  I'm invested, but there are other dimensions of health that take priority  I'm heavily invested and will make a strong effort to focus on this area weekly 
Emotional wellness (coping effectively with life and creating satisfying relationships)
Intellectual wellness (recognizing creative abilities and finding ways to expand knowledge and skills)
Physical wellness (recognizing the need for physical activity, healthy foods, and sleep)
Financial wellness (satisfaction with current and future financial situations)
Social wellness (developing a sense of connection, belonging, and a well-developed support system)

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