EXERCISE
How many days a week do you currently exercise? *
When exercising, about how long on average do you exercise? *
How vigorous are your exercise sessions? *
"None" is an acceptable answer.
Exercise Habits *
Exercise Habits
I find it difficult to fit exercise into my day due to work demands
I find it difficult to fit exercise into my day due to home/family demands
I enjoy exercising regularly
I enjoy working out alone
I enjoy working out in a group setting
I feel my current exercise habits improve my work performance
NUTRITION
How many servings of fruit do you eat daily? *
How many servings of vegetables do you eat daily? *
What is the proper serving size of a fruit or vegetable? *
Approximately how many ounces of water do you drink daily? *
Nutritional Habits *
Nutritional Habits
I often bring a lunch to work
I eat at least one vegetable or fruit with every meal
I like to eat at fast food restaurants
I cook and eat at home most nights of the week
I like to try new produce
I carry a water bottle with me everywhere I go
I feel my current nutritional habits improve my work performance
SLEEP
On average, how many hours a night do you sleep? *
Sleep habits *
Sleep habits
After I fall asleep, I stay asleep
It is easy for me to fall asleep
Most days, I wake up feeling refreshed from my sleep
I feel like I get good quality sleep
Most days, I feel energized throughout my day
I feel my current sleep habits improve my work performance
PRAYER/MEDITATION
How often do you take quiet time to pray or meditate? *
Prayer/Meditation Habits *
Prayer/Meditation Habits
I believe prayer/meditation has a positive effect on my energy
I believe prayer/meditation has a positive effect on my mood
My feel my current prayer/meditation habits improve my work performance
STRESS
How often do you feel stressed?
On a scale of 1(low)-5(high), how would you rate your current stress level? *
Stress Habits *
Stress Habits
I have control of my stress level
My job causes most of my stress
My home/family life causes most of my stress
I have good coping skills to deal with stress when it comes
Name
Name
This can be submitted anonymously. If you would like to compare this survey to your end of challenge survey, please include your name.