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Hello. I am ........... from OSN. We would value your opinion and feedback concerning a new initiative that we are exploring. I would appreciate it if you can give us a few minutes of your time for this purpose. Please note that this is part of an internal survey and your details will be completely anonymous.


Int: if respondent agrees, proceed with the interview; otherwise, thank him/her and try another customer.
 
 
* Do you have a few minutes?
 
Yes
 
No
 
 
 
* 1. Taking a typical day of your life, what kind of daily activities are you interested in and do regularly? (Do not read the options. MA.)
 
Shopping
 
Exercising
 
Watching TV
 
Reading
 
Surfing the Internet
 
Socializing
 
Listening to music
 
Sports
 
Other
 

 
 
 
* 2. On an average week, home many hours do you spend watching TV? (Do not read the options. SA.)
 
More than 15 hours per week
 
10-14 hours per week
 
5-9 hours per week
 
1-4 hours per week
 
Less than one hour per week
 
 
3. To what extent do you agree/disagree with the following statements about TV viewing using a 5-point scale:
Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree
* I can't live without TV
* TV has an educational value
* TV has an entertaining value
* TV has a negative impact on health
* TV helps me distress after a long tiring day
* TV viewing makes me feel happy and relaxed
* TV is a primary source of information on latest happenings in the world
 
 
 
* 4. Do you feel you/your family currently lead a well-balanced lifestyle?
 
Yes
 
No
 
 
 
* 5. Do you believe your children are currently leading a well-balanced lifestyle?
 
Yes
 
No
 
 
 
* 6. How do you compare your current lifestyle and health compared to five years ago? (Read the options. SA.)
 
I lead a healthier lifestyle currently
 
My lifestyle has been the same
 
My lifestyle has been the same but i would like to be healthier
 
My health and lifestyle has gotten worse
 
 
 
* 7. OSN is a pay TV network that is considering supporting "Well-being" as a social cause for a happier, safer and healthier community. How do you feel about this? (Read the options. SA.)
 
It is an important cause and it concerns me/my family
 
It is an important cause but it does not concern me/my family
 
It is not an important cause
 
 
 
* 8. What are other social causes that you are interested in? (Do not read the options. MA.)
 
Health and well-being
 
Road safety
 
Environmental
 
Children with special needs
 
Educational
 
Other
 

 
 
9. As you know, well-being is a generic term whic includes specific sub-causes. For each of the given sub-causes, Please rate your level of interest on a scale of 1 to 5:
Highly Interested Somewhat Interested Neutral Somewhat not Interested Totally not interested
* Physical health
* Mental health
* Social health
* Environmental health
 
 
 
* 10. What are your/your family's main health concerns? (Do not read the options. MA.)
 
Allergies
 
Alzheimer’s disease
 
Arthritis
 
Autism
 
Blood poisoning
 
Blood pressure
 
Cancer
 
Cholesterol
 
Depression
 
Diabetes
 
Heart disease
 
Influenza/Pneumonia
 
Injuries
 
Insomnia
 
Kidney disease
 
Nutrition-related diseases
 
Osteoporosis
 
Overweight/Obesity
 
Respiratory diseases/Asthma
 
Skin diseases
 
STD
 
Stress
 
Stroke
 
Other
 

 
 
 
* 11. What role do you think organizations can play in promoting a healthier community? (Read the options. MA.)
 
Education and awareness
 
Give incentives and motivate
 
Encourage individuals to make change happen
 
Give expert advice
 
Other
 

 
 
 
* Gender
 
Male
 
Female
 
 
 
* Age
 
15-18 years
 
19-24 years
 
25-29 years
 
30-39 years
 
40-49 years
 
50 years+
 
 
 
* Nationality
 
Saudi
 
Kuwaiti
 
Egyptian
 
Emirati
 
Other Arabs
 
Westerner/European
 
Asian
 
Other
 
 
 
 
* Country
 
KSA
 
UAE
 
Kuwait
 
Egypt
 
 
Contact Information
* First Name : 
* Last Name : 
* Phone : 
 
 
 
* Smart Card NO.
   
 
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