Get Physical Activity Nutrition Survey

Completing the Physical Activity Nutrition Survey online is a crucial step in assessing and improving your health. This guide will help you navigate the process easily and effectively, ensuring that you provide all necessary information accurately. Follow the steps outlined below to fill out the form confidently.

Follow the steps to successfully complete the survey.

1. Press the ‘Get Form’ button to access the survey and open it in your editing window.
2. Begin by indicating your readiness to make changes to your health. Use the scale from 0 (not ready) to 10 (very ready) and circle the appropriate number.
3. Next, you will see various ideas for change. Review the suggestions and check the ones you find applicable to your lifestyle, such as eating more fruits and vegetables or reducing screen time.
4. In the designated area, outline your personal health goal. This should reflect what you aim to achieve through the lifestyle changes.
5. Next, specify how you or your child will reward yourselves upon reaching your health goal. Write down the ideas that will motivate you.
6. Enter your signature to acknowledge the agreement to pursue these health goals, followed by any required signatures from your clinician or guardian.
7. Fill out the additional fields, including BMI classification and visit number if applicable.
8. Lastly, provide the best time and contact number for follow-up calls from the office, or indicate if you prefer not to be contacted for check-ins.

Start completing your survey online today for a healthier tomorrow!