Please take my survey on wellness!

Jul 20, 2007 18:29

I need to get as many people as possible to take this survey for the research methods course I am currently taking. The study I am conducting is researching the relationship between Age and Overall Wellness. Your participation will be greatly appreciated.

Mesa Community College
1833 W. Southern Ave.
Mesa, AZ 85202

The Relationship Between Age and Overall Wellness

You are being asked to participate in a research study investigating the relationship between Age and overall wellness.

You have been selected to participate because individuals that access the internet fall into many different age groups.

This study is being conducted by Christine Watson, a student at ASU and MCC, as part of the requirements for a Research Methods course in Psychology. It is being conducted with the permission of Mesa Community College and MCC’s Psychology Department (480.461.7032), under the guidance of Dr. Ed Lipinski (lipinski@mail.mc.maricopa.edu).

If you agree to participate, you will be asked to complete a survey relating to your overall wellness. Additionally, you will be asked to provide some demographic information (i.e. age, gender, etc.). It will take you approximately 10 minutes to complete the survey. You will receive of copy of this form for your records.

Your participation is voluntary. If at any time during this study you wish to withdraw your participation, you are free to do so without any consequence. Additionally, your responses will not be associated with you in any way and all collected data will be kept in the strictest confidence; only anonymous group results will be reported.

AUTHORIZATION: By filling out and submitting this online survey, I agree that I am at least 18 years of age, that I have read the above and understand the nature of the study, that my participation is voluntary and that I may withdraw at any time without consequence. Furthermore, I may contact the researcher (Christine Watson, christine.watson@asu.edu) with any questions that I might have about the study or contact MCC or Dr. Lipinski (as listed above) with any questions or concerns related to my participation in the study.

1. How often do you work (at a job)?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

2. How often do you do something you enjoy (non-work related, i.e. a hobby)?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

3. How often do you feel stressed/overworked?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

4. How frequently are you sick?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

5. How often do you normally eat pizza?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

6. How often do you work out (keep an elevated heart rate for 20+ minutes)?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

7. How frequently do you use alternative means of transportation (besides a motorized vehicle) to get around (i.e. walking/biking/bus)?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

8. How often do you eat fast food?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

9. How frequently do you watch TV?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

10. How often do you eat while watching TV?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

11. How frequently do you eat fruit?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

12. How frequently do you eat vegetables?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

13. How often do you worry about your health?
1 = very rarely, 2 = rarely, 3 = occasionally, 4 = frequently, 5 = very frequently

14. Do you consider yourself overweight?

15. List the number of hours of sleep you get per night (use typical nights, not weekend binge sleeping)

16. List the average number of hours of sleep you would prefer to get each night

17. Are you a vegetarian/vegan?

18. How old are you?

19. 19. What is your gender?

**Please email survey answers to christine.watson@asu.edu unless you do not mind others reading your response. If you would like to be updated on the results of this study send me a message and I will gladly send you the results. Thank you for your participation :-)
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