Personal Wellness Survey

Evaluate your own health and wellness.
View results without submitting



A red asterisk (*) indicates required questions.

  1. How many days per week do you exercise for 30 or more minutes?*
    1-2
    3-4
    5-7
    Every time I get off the couch for a bowl of ice cream!


  1. What do you reach for most often when selecting a beverage?*
    Regular soft drink
    Diet soft drink
    Water
    Gin and tonic
    Fruit juice
    Flavored water (Crystal Light, etc)
    Sweet tea
    Unsweetened tea


  1. How satisfied are you with your current weight?*
    I look great!
    Could stand to lose a few pounds.
    Currently in a weight loss program.
    I need some serious work!


  1. Do you cook most of your meals at home?*
    Yes
    No


  1. Do you eat 3 or more servings of fruits and vegetables per day?*
    Yes
    No


  1. Rank according to what you feel you need most.*
        1 2 3 4
    Exercise program  
    Information on healthy eating  
    Personal trainer  
    Lock on the refrigerator  





Christy Osterhout
Teleconference
NC State Laboratory of Public Health
Raleigh, NC