.
Nutrition Knowledge Survey
Hello,
Please take a few minutes of your time to fill in the following survey.
Start Survey Now
Secured
Survio
Create a survey
1
In your opinion, how important is what you eat to your overall health?
Select one answer
2
How would you describe your nutrition knowledge
Select one answer
3
How interested are you in learning more about diet and nutrition?
Select one answer
4
Which nutrition topics would you be most interested in learning more about?
Select one or more answers
The Basics - Are some foods better for me and why? How much should I eat in a day? Does it matter when?
Weight Gain or Loss
Eating to Optimize Athletic Performance
Stress or Emotional Eating
Trendy Diets and Nutrition Fads
Ethical or Sustainable Eating
Meal Prepping and Planning
Vitamins and Minerals in Foods and Supplements
Other...
5
Do you avoid any foods for health reasons?
Select one or more answers
No
Yes (Please write which one/s and why)
6
Do you have any particular food allergies?
No
Yes (Please write briefly which one/s)
7
Do you know your current BMI (Body Mass Index) index?
Select one answer
8
Do you have or have you ever had any of the following health concerns, which are sometimes related to lifestyle and eating habits for some individuals?
Select one or more answers
Elevated Cholesterol
High Blood Pressure
Diabetes
Atherosclerosis or Heart Disease
Don't Know
None of the Above
Other...
9
If Chicago's Neighborhood Fitness Centers offered short, free consultations with a dietitian/nutritionist, would you be interested?
Select one answer
Yes
No
Maybe
10
Is there any other health and nutrition related content, paid or unpaid, that you might be interested in checking out at CNFC?
Select one or more answers
Nutrition Workshops
Cooking Classes
Health Fair
One-on-one Nutrition Counselling
Healthy Recipes online
Nutrition Hand-outs
Not interested at this time
Other...
Continue
It is easy to
create a survey
free ✓ Powered by
Survio
Submit
It is easy to
create a survey
free ✓ Powered by
Survio