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Local Data: Drink & Health Survey

Submitted by ED on Wed, 10/07/2009 - 10:57pm.

 

What kind of beverage(s) do you consume daily or routinely (excluding water)? Example: coffee, alcohol, tea, Red Bull, Gatorade, etc.

 
 
Do you routinely consume those beverages believing they help you do something? If so, what? Do you just drink it/them for taste?
 
Beverage: ___________ Why: ____________________________________________
 
Beverage: ___________ Why: ____________________________________________
 
Beverage: ___________ Why: ____________________________________________
 
Beverage: ___________ Why: ____________________________________________
 
 
What is the most unhealthy/stressful factor in your life (don’t think too hard— academic stress, social anxiety, insomnia, body image)? (This is an anonymous survey.)
 
 
On a scale from 1 to 10, how hard do you try to stay healthy? (10 being most effort, 1 the least)
 
1            2            3            4            5            6            7            8            9            10
 
 
On a scale from 1 to 10, how much do you care about being academically successful? (not necessarily the same as how “academically successful” you actually are!)
 
1            2            3            4            5            6            7            8            9            10

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