Engineering

Survey;
Instructions: Be honest!


1) Name:

2) Age:

3) Sex:

4) Location:

5) In general, what would you say your health is? (Please circle)
· Excellent
· Very Good
· Good
· Fair
· Poor

6) What are some unhealthy things you do?





7) Are you a cigarette smoker?


8) Do you drink alcohol?


9) What do you believe leading a healthy lifestyle would include?





10) If you need to get some help with your health, what would you do?



11) Do you believe you can improve on your health at your current age? Why/why not?






12) What are the benefits of being healthy?





13) During the past week, have you had any pains in any parts of your body?
A) Yes
B) ...