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Senior Post Survey

Senior Nutrition Program: Pre-Program Assessment V2

Birthday
Month
Day
Year
At which park location are you taking this program?
Shenandoah Park
Charles Hadley Park
Antonio Macio Park

Section 1: Flavorful Meals with Fewer Calories

How confident are you in your ability to create meals that are both flavorful and lower in calories (e.g., by reducing fats, sugars, and sodium)?
Not confident at all
Slightly confident
Somewhat confident
Very confident
Extremely confident
Do you know techniques to reduce unhealthy fats, sugars, or sodium in your cooking while maintaining flavor?
Yes, I use these techniques often
Yes, but I use them occasionally
No, but I would like to learn
No, and I am not interested
How often do you modify traditional or cultural recipes to make them healthier?
Never
Rarely
Sometimes
Often
Always

Section 2: Meal Prep Time Saver and Cost Savings

How often do you plan your meals for the week ahead?
Never
Rarely
Sometimes
Often
Always
How confident in your ability to prepare nutritious meals within a limited amount of time?
Not confident at all
Slightly confident
Somewhat confident
Very confident
Extremely confident
What challenges do you face when trying to save time and reduce costs in meal preparation? (Check all that apply.)
How often do you use leftovers or repurpose ingredients to minimize food waste?
Never
Rarely
Sometimes
Often
Always

Section 3: Healthy Ingredient Substitutions

Are you familiar with healthy ingredient substitutions, such as using Greek yogurt instead of sour cream or whole-grain options instead of refined grains?
Yes, I use them regularly
Yes, but I use them occasionally
No, but I would like to learn
No, and I am not interested
How confident are you in identifying healthier ingredient options that align with your cultural or personal food preferences?
Not confident at all
Slightly confident
Somewhat confident
Very confident
Extremely confident
What are the main reasons you don’t use healthier ingredient substitutions? (Check all that apply.)

Section 4: Perceptions of Diet and Associations to Chronic Diseases

How strongly do you agree with the statement: "What I eat can impact my risk of chronic diseases like diabetes, high blood pressure, or heart disease"?
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Which chronic diseases do you think are most affected by diet? (Check all that apply.)

Section 5: Daily Dietary Behaviors

How many days during the week do you consume vegetables as part of your daily meals?
7 days per week
5-6 days per week
3-4 days per week
1-2 days per week
0 days per week
How many days during the week do you eat fruits as part of your daily meals?
7 days per week
5-6 days per week
3-4 days per week
1-2 days per week
0 days per week
How often do you prepare meals at home?
Never
Rarely (1-2 times per week)
Sometimes (3-4 times per week)
Often (5-6 times per week)
Always (7 days per week)
How often do you consume processed or pre-packaged meals?
Never
Rarely (1-2 times per week)
Sometimes (3-4 times per week)
Often (5-6 times per week)
Always (7 days per week)

General Questions 

What specific healthy eating goal did you focus on throughout this 6-week program?
Eating more fruits and vegetables at least 3 times in a week
Cooking and preparing meals at home at least 3 times a week.
Preparing more of my cultural foods in a healthier way at least 3 times in a week.
Managing portion sizes to avoid overeating for at least 2 of my daily meals.
Other
Do you feel that you accomplished your healthy eating goal?
Yes
No
How many program sessions did you attend?
1 session
2 sessions
3 sessions
4 sessions
5 sessions
6 session

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