1. Participant Survey Community Wellness Challenge

This on-line survey is intended to be taken at the end of your participation in the "Healthy Weight Journal Community Wellness Challenge" program. The survey will be used to capture some basic information about your lifestyle and experiences with the program.

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* 1. What is your gender?

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* 2. What is your age?

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* 3. Before starting the "Community Challenge", how would you rate your level of physical activity?

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* 4. I feel that my energy level has increased and physical health has improved.

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* 5. I'm hooked on the "Challenge". I am physically active on a regular basis (30 minutes at least 4-5 times per week).

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* 6. The "Community Challenge" provided me the motivation I've needed for some time.

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* 7. I eat more fruits and vegetables since beginning the Challenge.

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* 8. I eat at least the following number of cups of fruits and vegetables daily.

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* 9. For individuals who are overweight:
I have lost weight.

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* 10. Participating on a community team was an important aspect of the program.

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* 11. I attended how many of the group sessions?

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* 12. The community education programs provided many ideas that helped me to reach my goals.

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* 13. I enjoyed following the team process and tips in the Mining Journal.

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* 14. Please describe what worked for you or share any other comments you may have regarding the program.

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