Speak Your Mind! Spring 2007 Reader Survey

(and Win Free Stuff)

Real Health Readers: We want to know about your eating habits. What do you eat? Do you face any challenges with food or diet? Real Health is giving away five copies of The Fitness Challenge board game (a $29.95 value), an innovative eight-week program that makes getting fit fun. For more information, visit www.fitnesschallenge.com. To enter our drawing, take a reader survey at www.realhealthmag.com/survey or fill out the following survey and mail it to: Real Health c/o Smart + Strong, 500 Fifth Avenue, Suite 320, New York, NY 10110 or fax it to 212.675.8505. For the official contest rules, visit www.realhealthmag.com/survey/rules.
 
1. Name
 
2. Organization (if you represent one)
 
3. Street address:
 
4. City
 
5. State
 
6. ZIP code
 
7. E-mail
 
8. Phone
 
9. Do you want to eat healthier food or improve your diet?
Yes
No
I don't know.
 
10. What are your challenges when it comes to eating healthy? (Check all that apply.)
I do not like the way healthy food tastes.
Healthy food isn’t available in my neighborhood.
Fast food is closer, cheaper and faster.
Healthy food is more expensive.
I eat to deal with stress.
My family or spouse is not interested in eating healthy.
It’s hard to control how much I eat.
Cooking/eating healthy takes more time.
 
11. Have you ever tried any of the following weight loss programs or products? (Check all that apply.)
Weight Watchers
Jenny Craig
Overeaters Anonymous
Atkins Diet
NutriSystem
Other: 
 
12. How often do you eat fast food each week?
I do not eat fast food.
1-3 times
4-6 times
7-9 times
10 times or more
 
13. How often do you cook at home each week?
I do not cook at home.
1-3 times
4-6 times
7-9 times
10 times or more
 
14. Do you take vitamins and/or supplements?
Yes
No
 
15. Do you try to watch how much you eat or drink of the following? (Check all that apply.)
Alcohol
Caffeine
Calories
Carbohydrates
Cholesterol
Fat
Protein
Sodium
Starch
Sugar
Trans fats
 
16. Do you need to monitor your diet for any of the following? (Check all that apply.)
Arthritis
High cholesterol
Diabetes
Osteoporosis
Food allergies
High blood pressure
Other: 
 
17. Do you read food labels for nutritional information?
Yes
No
 
18. Are you lactose intolerant?
Yes
No
 
19. Do you prefer to consume any of the following? (Check all that apply.)
Lactaid or lactose-free milk
Soy milk
Nondairy products
Other: 
 
20. Which food/eating-related articles would you like to read about in the future? (Check all that apply.)
Calorie or portion control
Cooking and eating for chronic health conditions
Eating disorders
Food safety
Healthy fats vs. unhealthy fats
How to read food labels
How to shop for food/manage food budgets
Nutrition for children
Weight loss success stories
Other: 
 
21. What year were you born?
 
22. Gender
Female
Male
Transgender
Other: 
 
23. What is your household income?
 
24. Marital status
Single, never married
Single, divorced or separated
Married
In a relationship, not living together
In a relationship, living together