Surveys 2014 October F Families Eat Healthy Stay Healthy-Health Outcomes

Families Eat Healthy Stay Healthy-Health Outcomes

0%

Exit Survey

Did this program meet your specific health goals?   Yes   No   NA       Please name the goals that were achieved from this program?   Please list         Did this nutrition education program increase your servings of fruits and vegetables?   Yes   No       Please state your past weight before this nutrition education program and your current weight?     Please list       What assessments has the nutritionist made regarding your current diet?     Please list       How many servings of fruits and vegetables do you and your family consume daily in your diets?   0   1   2   3   4   5       I always have fruits and vegetables in my home?   Yes   No       How many times per week do you and your family eat at fast food restaurants?   0   1   2   3   4   5   more than 5 times per week       Do you feel you eat healthier after taking this nutrition education program?   Yes   No   Maybe       If you could change anything in your diet, what would you like to change?     Please list

Thank you for your participation in this survey.