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
Iím 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, Iím 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