ST.

FRANCIS COMMONS INTERVIEW QUESTIONS

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Shannon Stone - Erica Doering - Molly Beck

1. How old are you? _________ What is your name? __________________________

2. How active are you throughout the day? Do you take walks? Do you move around a lot?

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3. What do you spend most of your time doing each day?

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4. Do you have any diseases that run in your family?

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5. Do you have any current illnesses or concerns that affect your daily life?

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6. Do you have any dietary restrictions?

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7. Where are you from/where did you grow up?

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8. What is your favorite food?

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9. What is your favorite category/style of food?

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10. How many meals a day do you eat?

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11. Do you eat snacks throughout the day? If so how many?

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12. How often does your family or friends visit?

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13. What does the nursing home serve on a daily basis?

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14. What is a type of food you hate the most?

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15. What’s one meal you wish you could eat right now?

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 16. Have your eating habits changed since moving to St. Francis Commons?

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17. Have your eating habits changed as you have gotten older? If so how?

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18. What times of the day do you like to eat breakfast, lunch, and dinner?

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19. Do you struggle to fall asleep or stay asleep?

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20. If you take any medications do they have any side effects?

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21. Do you take any supplements or multivitamins?

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22. Do you have any allergies or intolerances? Ex: Gluten, peanuts

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 23. What did you have for breakfast this morning?

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24. What does a healthy diet look like to you?

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25. How would you describe your diet?

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26. Do you prefer eating alone or with a group of people?

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27. What was your favorite meal in college / early 20’s?

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28. What do you wish you could change about your eating habits?

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29. What do you think causes obesity?

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30. How often do you drink soda?

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31. If you could have any snack you wanted, what would it be?

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32. How much exercise do you think you should get a week?

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33. On a scale of 1-10, how healthy do you think you are, 10 being optimal health?

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34. How many hours of sleep do you get each night?

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35. Would you like to learn more about obesity?

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