0%
Exit Survey
 
 
What is your age?
 
<20
 
20-30
 
31-40
 
41-50
 
51-60
 
61-70
 
71+
 
 
 
What is your predominant race?
 
White, non-Hispanic, non-Latino
 
American Indian
 
Asian
 
Black or African American
 
Alaska Native
 
Native Hawaiian or Pacific Islander
 
Mexican American, Latino or Hispanic
 
Other
 
 
Are you currently diagnosed with any of the following health problems?
Yes No
High Blood Pressure
High Cholesterol
Diabetes
Cancer
 
 
What kind of farming do you do? Select all that apply.
Livestock
Crop
Ranch
Sales
Other
 
 
 
On average, how often do you engage in 30 minute or > bouts of physical activity?
 
1-2 times per week
 
2-3 times per week
 
3-4 times per week
 
4-5 times per week
 
5-6 times per week
 
Daily
 
 
 
What types of work related physical activity do you engage in? Please list.
   
 
 
 
Aside from work related activity, what other forms of physical activity do you engage in (i.e. walking, biking, lifting)? Please list.
   
 
 
 
On average, how many hours do you sit each day (include time spent driving, leisure, work, etc.)?
 
<1 hour
 
2-4 hours
 
4-6 hours
 
6-8 hours
 
8-10 hours
 
10+ hours
 
 
 
On average, how many hours do you spend engaging in screen time activities (i.e. television, computer, video games, e-readers)?
 
<1 hour
 
2-4 hours
 
4-6 hours
 
6-8 hours
 
8-10 hours
 
10+ hours