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SURVEY SAYS


Maryland Self-Health Survey


Certainly, here's a general survey for self-health in Maryland with 15 questions to check on mental health, hydration, and physical abilities:

Self-Health Maryland Survey

Please answer the following questions to help us understand your self-health needs and interests. Your responses will remain confidential.

Personal Information:

  1. Name (Optional):

  2. Age:

  3. Gender:

  4. Location (City/County):

Mental Health: 5. On a scale from 1 to 10, how would you rate your overall mental health, with 1 being very poor and 10 being excellent?

  1. Do you experience stress or anxiety regularly? (Yes/No)

  2. Have you ever sought professional help for mental health issues? (Yes/No)

Hydration: 8. On average, how many glasses of water do you consume per day?

  1. Do you have any specific hydration goals or challenges?

Physical Abilities: 10. How often do you engage in physical exercise? (Daily, Weekly, Monthly, Rarely, Never)

  1. Do you have any physical limitations or health conditions that affect your ability to exercise?

Self-Health Club Interest: 12. Are you interested in joining a self-health club in Maryland? (Yes/No)

  1. What specific self-health activities or programs are you most interested in? (e.g., yoga, meditation, fitness classes)

  2. What days and times work best for you to attend self-health club activities?

  3. Any additional comments or suggestions related to self-health in Maryland?

Thank you for taking the time to complete this survey. Your feedback is valuable in helping us create a self-health program that meets your needs and interests.


 
 
 

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