.
Health Impact Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
Start
Secured
Survio
Create a survey
1
To what extent do you believe economic stability influences your overall health?
Please select your level of agreement.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
2
On a scale of 1 to 10, how would you rate the importance of nutrition education for a healthy lifestyle?
Please rate the importance of nutrition education on a scale from 1 to 10.
3
How easy is your access to healthcare services in Bonaire?
Please provide a brief answer.
4
Do you think environmental factors play a significant role in influencing your health?
Please select your level of agreement.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
5
How important is social and community support for maintaining a healthy lifestyle in Bonaire?
Please provide your opinion.
6
Do you believe there is a correlation between economic stability and access to nutritious food?
Please select your level of agreement.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
7
In your opinion, how effective is the current nutrition education program in Bonaire?
Please provide your opinion.
8
Have you faced challenges in accessing healthcare services in Bonaire? If yes, please elaborate.
Please provide details if applicable.
9
To what extent do you feel environmental factors impact your daily health?
Please select your level of agreement.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
10
How important is a strong social support system for the well-being of individuals in Bonaire?
Please provide your opinion.
Submit
Create a survey