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Healthy Weight Initiative

Survey

Obesity is a serious public health problem for many people in our community
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Don't know Refused
I have all the information I need in order to eat a nutritious diet
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Don't know Refused
I get as much physical exercise as I should during an average week
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Don't know Refused
I think the health risks of being obese have been overestimated by scientific experts
Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Don't know Refused
For each of the following things that some people do, please tell me whether you do it regularly, once in a while, or not at all. Read information about living a healthy lifestyle
Regularly Once in a while Not at all Don't know Refused
Talk to my family about ways to improve our health
Regularly Once in a while Not at all Don't know Refused
Talk to my friends about strategies that would enhance our health
Regularly Once in a while Not at all Don't know Refused
Make lifestyle changes that you believe will promote healthier living
Regularly Once in a while Not at all Don't know Refused
How would you describe your own personal weight situation now? Would you describe yourself as very underweight, somewhat underweight, about right, somewhat overweight, or very overweight?
Very underweight Somewhat underweight About right Somewhat overweight Very overweight Don't know Refused
At this time, would you say you are actively trying to lose weight, not really trying to lose weight but watching what you eat, just eating normally without paying any special attention to diet, or actively trying to gain weight?
Actively trying to lose weight Watching what you eat Eating normally Actively trying to gain weight Don't know Refused
In general, how would you describe your own health? Is it excellent, very good, good, fair or poor?
Excellent Very good Good Fair Poor Don't know Refused
Has a doctor or nurse ever talked to you about diet, exercise or nutrition?
Yes No Refused
If yes: Was that in the past year, between one and three years ago, or more than three years ago?
In the past year Between one and three years More than three years ago Don't know Refused
Have you ever lost more than 5 pounds through some kind of special effort on your part, such as a special diet or exercise program?
Yes No Not sure Refused
If yes: Did you keep that weight off for at least a year?
Yes No Not sure Refused
When is the last time you weighed yourself? Would you say it was:
Today Within the last week Within the last month More than a month ago Don't know Refused
I’m going to name some things that some people say are important for good health and nutrition. For each, tell me whether it is very important, somewhat important, not very important or not at all important to you. Reading nutrition labels in the grocery store
Very important Somewhat important Not very important Not at all important Don't know/Refused
Eating breakfast
Very important Somewhat important Not very important Not at all important Don't know/Refused
Getting at least 20 minutes of exercise at least every other day of the week
Very important Somewhat important Not very important Not at all important Don't know/Refused
Eating fruits and vegetables
Very important Somewhat important Not very important Not at all important Don't know/Refused
Arranging my schedule to make good nutrition possible
Very important Somewhat important Not very important Not at all important Don't know/Refused
Do you work for pay outside of the home?
Yes No Refused
Asked of those that work for pay outside the home: Is a cafeteria available at your workplace?
Yes No Refused
If yes: How would you describe the food in your workplace cafeteria? Would you say it is:
Very nutritious Somewhat nutritious Not very nutritious Not at all nutritious Don't know/Refused
Asked of those that work for pay outside the home: Are vending machines available at your workplace?
Yes No Refused
If yes: Do the vending machines at your workplace offer nutritious snacks or not?
Yes No Don't know Refused
Asked of those that work for pay outside the home: Is there an exercise facility available at your workplace?
Yes No Refused
If yes: Have you ever made use of the exercise facility at your workplace?
Yes No Refused
If use exercise facility at work: How often would you say you use the facility?
Daily Once a week Once or twice a month Once in a while Refused
Asked of those that work for pay outside the home: In general would you say that your employer is making an effort to assist you in being healthy or is that not a concern to your employer?
Assisting in being healthy Not a concern Don't know Refused
Now thinking about recreational options in your community. For each of the following, tell me whether your community has an adequate supply of this resource or not?
Yes No Refused
Biking paths
Yes No Refused
Dog walking trails
Yes No Refused
And for each of those resources, do you use them often, once in a while, or not at all? Walking paths
Often Once in a while Not at all Refused
Biking paths
Often Once in a while Not at all Refused
Dog walking trails
Often Once in a while Not at all Refused
Do you have children now in the local public schools?
Yes No Refused
Asked of those with children in public schools: Based on what you know about the meals served at the schools, would you say that the food is:
Very nutritious Acceptable Not nutritious enough Don't know
Asked of those with children in public schools: And how about the amount of physical exercise that the school promotes, do you believe children get plenty of exercise during the school day, some exercise, or not enough exercise?
Plenty Some Not enough Don't know
Thinking now about your community as a whole, that is, including schools and other institutions, do you think the community does an excellent job of promoting healthy lifestyles, a good job, a fair job or a poor job of promoting healthy lifestyles?
Excellent Good Fair Poor Don't know Refused
Before we finish, I’m going to read you a few suggestions that some people have made that they believe would encourage more people to live a healthy lifestyle. For each, tell me first whether or not you think it is a good idea, and secondly if you do this Offer school facilities to the public for exercise and recreation
Good idea Bad idea Don't know/Refused
If good idea: Using school facilities for exercise and recreation
Would participate in Would not participate in Don't know/Refused
Conduct free public workshops on nutrition
Good idea Bad idea Don't know/Refused
If good idea: Attend free public workshops on nutrition
Would participate in Would not participate in Don't know/Refused
Conduct free public workshops on fitness
Good idea Bad idea Don't know/Refused
If good idea: Attend free public workshops on fitness
Would participate in Would not participate in Don't know/Refused
Offer public inexpensive weight loss programs
Good idea Bad idea Don't know/Refused
If good idea: Attend public inexpensive weight loss programs
Would participate in Would not participate in Don't know/Refused
Encourage health oriented restaurants to open in the area
Good idea Bad idea Don't know/Refused
If good idea: Eat at health oriented restaurants in the area
Would participate in Would not participate in Don't know/Refused
Would you support a 1% sales tax that some have proposed be applied to junk food? Do you support that idea, oppose it or would you need more information in order to decide?
Support Oppose Need more information Refused