Questionnaire

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Questionnaire

Fit For Living Questionnaire

Please help our planning efforts by filling out both pages of this brief form and handing it in at the end of the event.

Please give us your comments or thoughts about today’s event:

How did you hear about today’s event? Please check:

What topics would you like to hear about over the next few months?

What suggestions do you have for future Fit for Living activities or events?

Have you attended other Fit for Living events?

Had you heard about Fit for Living before this event?

Please tell us something about yourself

How often do you get moderately intense physical activity of 10 minutes or longer (for example, bicycling, brisk walking, dancing, playing sports, running, or swimming)?

Have you made any recent changes in your physical activity habits?

How many servings of fruits or vegetables do you eat each day?

Have you made any recent changes in your eating habits?

Thank you for taking the time to fill out this form.

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