Please write the number that is on your survey here: __________ (remember, these surveys are anonymous, but we are trying to keep track of the number of responses we sent our and have received)

You may respond to this by simply “cutting and pasting” the survey onto an e-mail sent to me, J. Rodriguez, at: jrodrigu@unf.edu

______________________________________________________________________________________________

Dear Freshman:

Two College of Health faculty would like to learn more about the dietary habits of incoming freshmen here at UNF by asking you a few survey questions.We hope this information will help the College and University to understand the issues related to college students’ diet and health.There are no risks involved in this study and all information is anonymous.You are under no obligation to participate and

may choose to discontinue participation at any time with no penalty. Please take about ten minutes to complete the attached survey: at the end of this academic year, we will

again mail out a similar survey.You may also complete the survey online http://www.unf.edu/~jrodrigu/ and submit it via e-mail.If you have any questions or want to discuss the study, please contact Judith Rodriguez or Terry Tabor at 620-2840 or email addresses jrodrigu@unf.edu and ttabor@unf.edu.

Thank you for your cooperation.

SECTION 1:EATING HABITS

Please check appropriate answer.
 

How often do you eat meals at mealtimes?	Never	Seldom	Sometimes	Usually	Always
1.Breakfast
2.Lunch
3.Dinner

 

How often do you eat these types of foods?	Never	Seldom	Sometimes	Usually	Always
4.“Home-cooked foods
5. Convenience foods (e.g. frozen, canned, etc)
6. Prepared foods (e.g. fast foods, restaurant foods, etc)
7. Do you eat more when you are feeling stressed?
8. Do you snack often? (i.e. more than twice in one day)?

 

9. Are you more inclined to snack in any of the following situations?(Circle as many as apply)	Studying	Partying	Bored	Other:
10. What types of foods do you normally snack on? (Circle as many as apply)	Chips or salty snacks	Sweets (i.e. cookies, ice cream, candy	Fast foods, pizza	Other:

Please circle appropriate answer.
 

11. How often do you consume alcoholic beverages?	Never	Special Occasions Only	Less than once per week	Once per week	Twice per week	More than three times per week
12. What type do you normally consume? (Circle all that apply)	Regular Beer	Light beer	Wine/ Wine Cooers	Hard liquor/ mixed drinks	Other:	N/A

 

13. How would you rate the “healthiness” of your eating habits?

Poor

Fair

Average

Good

Excellent

If you answered poor/fair/average to Question #13, please answer:
 

14. What is the main reason that your eating habits are not very healthy? (Select one)

Not enough money

Not enough time

No access to healthy choices

Don’t care

Other:

 

Do you generally use:
15. Sugar substitutes in place of sugar?	Yes	No
16. Low-fat foods in place of regular foods?	Yes	No
17. Vitamin and mineral supplements?	Yes	No
18. Other dietary supplements?	Yes	No
19. If yes, please list dietary supplements:

 

On a WEEKDAY, how many times do you eat: (Please check appropriate answer)	Never	Less than once per week	A few times per week	1-3 times per day	4+ times per day
20. Mixed dishes such as pizza, macaroni & cheese, tacos, casseroles, etc.
21. Breads, grains, pasta, rice and other grains
22. Dark green, yellow, or leafy vegetables
23. Fruits or fruit juices
24. Meat, fish, eggs, beans, nuts or tofu
25. Milk (any type), yogurt or cheese
26. Margarine or butter (any type), bacon, dressings, oils, fried foods, chips, olives
27. Sugar, candy, honey, syrup, jellies/jams, pastries, cakes, cookies

SECTION 2: PHYSICAL ACTIVITY

If you don’t exercise or you are exercising less than before, please answer:
 

30. What is the main reason why you do not exercise/exercise less since attending UNF?

No time

No access/  equipment

Other:

If you are currently exercising, answer the following:
 

31. How often do you exercise?	0-1 times/week	2-4 times/week	5+ times/week
32. At what level of intensity?	Light*	Moderate**	Heavy***
33. What type of exercise do you do? (Select one)	Cross-training (combination of types)	Aerobic (walking, running etc.)	Strength training	Recreational/ Competitive Sports		Other
34. What is the main reason why you exercise?(Select one)	Maintain or lose weight	General health	Enjoyment	Stress relief		Other

*Light – Normal walking, walking downstairs, bowling, mopping, etc.

**Moderate – Brisk walking, lawn mowing, shoveling, social dancing, etc.

***Heavy – Jogging (5mph, 12 min mile), cycling (13mph), skiing, fencing, etc.

SECTION 3: ANTHROPOMETRICS AND DEMOGRAPHICS

 

40. Where do you live while school is in session?	On campus (dorms)	Off-campus with parents	Off-campus without parents
41. Race/Ethnicity:	White, non-Hispanic	Black	Hispanic	Asian/ Pacific	Native American	Other:

Please complete both sides.

SECTION 4: ON-CAMPUS FACILITIES / SERVICES

Please circle appropriate answer.

Rate on-campus food service in regard to:
 

45. Cost:	Inexpensive		Average	Expensive
46. Quality:		Poor	Fair	Average	Good	Excellent

Which of the following services would you like to have?
 

47. Health and wellness courses in the general curriculum	Yes	No	No opinion
48. More health and wellness courses offered as electives	Yes	No	No opinion
49. More health and wellness activities on campus	Yes	No	No opinion
50. Nutrition counseling for students	Yes	No	No opinion

Other Comments: