SECTION: Health Care Coverage and Utilization Survey Entry ...

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Survey Entry - 2011 College Student Health Surveyhttp://internetstudy.cbsol.com/Survey/BSurvey.aspSECTION: Nutrition and Physical Activity10 SURVEY PAGE: 10 of 26 pages You have completed 0 of 6 Items on this page5 In the past 7 days, how manyhours did you spend doing thefollowing activities?NoneLess than1/2 hour1/2 - 2hours2 1/2 - 4hours4 1/2 - 6hours6 1/2+hoursStrenuous exercise (heart beats rapidly).Examples: biking fast, aerobics, dancing,running, basketball, swimming laps,rollerblading, tennis, soccerModerate exercise (not exhausting).Examples: walking quickly, baseball, easybiking, volleyball, skateboarding,snowboardingExercises to strengthen or tone yourmuscles. Examples: push-ups, sit-ups,weight lifting/training6 On an average day, how manyhours do you spend doing thefollowing activities?NoneLessthan 1hour 1 hour 2 hours 3 hours 4 hours5+hoursWatching televisionUsing a computer for something that is notfor work or school workUsing a handheld device for something thatis not for work or school workSUBMIT RESPONSES - Updates will be saved. You will be taken to the ANSWER REVIEW PAGE.SKIP THIS PAGE - No updates will be saved. You will be taken to the OVERALL SURVEY SUMMARYPAGE.1 of 1 5/10/11 3:01 PM
Survey Entry - 2011 College Student Health Surveyhttp://internetstudy.cbsol.com/Survey/BSurvey.aspSECTION: Nutrition and Physical Activity11 SURVEY PAGE: 11 of 26 pages You have completed 0 of 20 Items on this page7 During the past 7 days, howmany times did you eat/drink thefollowing?**(Think about all the meals and snacks youhad from the time you got up until you wentto bed. Be sure to include food you ate athome, school, restaurants, or anywhereelse.)**I did noteat ordrinkthis1 to 3timesduringthe past7 days4 to 6timesduringthe past7 days1 timeper day2 timesper day3 timesper day4 ormoretimesperday100% fruit juice (Do not include punch,Kool-Aid, sports drinks, or other fruitflavoreddrinks.)Fruit (Do not include juice)Green saladPotatoes (Do not include French fries, friedpotatoes, or potato chips.)CarrotsOther vegetables (Do not include greensalad, potatoes, or carrots.)8 During the past 7 days, howmany times did you drink thefollowing?**(Think about all the beverages you hadfrom the time you got up until you went tobed. Be sure to include beverages you drankat home, school, restaurants, or anywhereelse.)**I did notdrinkthis1 to 3timesduringthe past7 days4 to 6timesduringthe past7 days1 timeper day2 timesper day3 timesper day4 ormoretimesperdayCan, bottle, or glass of soda or pop (Coke,Pepsi, or Sprite, etc.). (Do not include dietsoda or diet pop.)Can, bottle, or glass of diet soda or diet pop(Diet Coke, Diet Pepsi, or Diet Sprite, etc.)Fruit-flavored drinks with sugar (Kool-aid,Hi-C, lemonade, cranberry cocktail, vitaminwater, etc.)Sports drinks (Gatorade, Powerade, etc.)Coffee drinks with added sugar (lattes,mochas, Frappuccinos, Macchiatos, etc.)Other sweetened beverages (energy drinks,sweetened teas, rice drinks, sugar canbeverages, etc.)1 of 2 5/10/11 3:01 PM
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SECTION: Health Care Coverage and Utilization Survey Entry ...

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