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Health Risk Assessment


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scales







Over the past 7 days:


How many servings of fruits/vegetables did you eat each day?

How many soda and sugar sweetened drinks (regular, not diet) did you drink each day?
fastfood



shoesfood



stress

Over the past 2 weeks, how often have you been bothered by these problems below?





Over the past 2 weeks, how often have you been bothered by these problems below?








handface

Over the past 2 weeks, how often have you been bothered by these problems below?





Over the past 2 weeks, how often have you been bothered by these problems below?









Over the past 2 weeks, how often have you been bothered by these problems below?







Over the past 2 weeks, how often have you been bothered by these problems below?










Have you used tobacco in the last 30 days?





tobacco






alcohol


health





































Basic information