For each item, think about the last seven days and answer ‘Yes’ or ‘No’ if you…
Felt your life had a sense of purpose
For each item, think about the last seven days and answer ‘Yes’ or ‘No’ if you…
Used olive oil as your primary oil or used no oil when cooking
For each item, think about the last seven days and answer ‘Yes’ or ‘No’ if you…
Engaged in two or more spiritual or religious practices (e.g., meditation, prayer, church services, etc.)
For each item, think about the last seven days and answer ‘Yes’ or ‘No’ if you…
Felt that you were able to manage and deal with stressors effectively most days
For each item, think about the last seven days and answer ‘Yes’ or ‘No’ if you…
Interacted with one or more club(s) or organization(s) (e.g., athletic, community, school group, etc.)
For each item, think about the last seven days and answer ‘Yes’ or ‘No’ if you…
Smoked, vaped, or used tobacco/e-cigarette
For each item, think about the last seven days and answer ‘Yes’ or ‘No’ if you…
Visited or spoke to a close friend or family member on three or more separate occasions
For each item, think about the last seven days and answer ‘Yes’ or ‘No’ if you…
Woke up feeling refreshed and rested on most days
For each item, think about the last seven days and answer ‘Yes’ or ‘No’ if you…
Spent at least two hours in nature (approximately 20 minutes daily)
For each item, think about the last seven days and answer ‘Yes’ or ‘No’ if you…
Felt you had enough time to take care of yourself most days
For each item, think about the last seven days and provide your best estimate for each:
less than 1 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10+ |
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Total number of sit-down or take-out restaurant meals |
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Total number of resistance training workouts performed(e.g., pushups, squats, pullups, etc.) |
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Total number of sweetened drinks consumed(e.g., juice, sweetened coffee or tea, soda, sports drinks, etc.) |
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Highest number of alcoholic drinks consumed on any single day |
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Average number of packaged snacks per day(e.g., chips, crackers, cookies, candy, protein bars, etc.) |
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Average number of hours slept per night |
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Average number of daily servings of fruit |
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Average number of hours spent sitting each day |
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Average number of alcoholic drinks consumed on days alcohol wasconsumed (select less than one if you did not drink any alcohol) |
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Average number of daily servings of vegetables |
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For each item, think about the last seven days and provide your best estimate for each:
less than 30 minutes | 30 minutes | 45 minutes | 1 hour | 1.5 hour | 2 hour | 2.5 hour | 3 hour | 3.5 hour | 4 hour | 4.5 hour | 5 or more hours |
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Total amount of cardiorespiratory exercise during the week (e.g., brisk walk, jog, etc.) |
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