Food For Life Pre-Class Survey

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Familia, I just became a certified Food for Life instructor with the Physicians Committee for Responsible Medicine! Last year I became certified in Plant-Based Nutrition from T. Colin Campbell's eCornell course. You are receiving this survey because you have been with me on my journey and have expressed an interest in taking a class with me once I am ready. Well, the time is approaching and I have decided that the first class I teach will be for you, my friends and family. In doing so, I hope to learn from your trusted and treasured feedback as you learn from me. It is important for me to design my classes with the interests and needs of the participants in mind, so, I have created this pre-class survey.

What is Food For Life? Food For Life is a nutrition education and cooking class program that provides an innovative approach to diet-related chronic diseases. Since 2001, Food for Life has delivered hands-on information about the direct role of plant-based nutrition in health and disease prevention to communities around the world. Designed by physicians, nurses, and registered dietitians, Food for Life promotes healthful eating based on the latest scientific research. Each Food for Life class includes:

Specific information about how certain foods and nutrients work to promote or discourage disease
Cooking demonstrations of delicious and healthful recipes
Practical cooking skills and tips for incorporating healthful eating habits into daily life
A supportive and motivational atmosphere to empower participants to take charge of their health with the foods that are put on their plates

I'm excited for you to join me on this journey, let's get started!

Name

What barriers might you have to incorporating more plant-based foods into your diet? (check all that apply)

Not enough time to prepare plant-based food.

Need for more information on how to prepare plant-based foods.

Concerns about how plant-based foods taste.

Concerns about not being able to eat your favorite and/or cultural foods.

Energy limitations to preparing plant-based food.

Mobility challenges/differences for shopping for and/or preparing plant-based food.

Certain plant foods you dislike or avoid.

Not having a grocery store within a close enough distance to your home.

Financial limitations for purchasing vegetables and other food.

Not having a supportive family or community.

Frequent travel.

Other:

Feel free to tell me more about these barriers.

What might be helpful to receive in this class? (check all that apply)

Nutrition information on the benefits of plant-based food.

Information on diet-related disease prevention.

New easy and tasty recipes to try.

Instruction on the basic steps for preparing plant-based food.

Time and energy saving tips for preparing plant-based food.

Information on how to access affordable healthy food in your local community.

Tips on how to modify some of your favorite foods to make them plant-based.

Recommendations on how to incorporate plant-based foods into your family's meals

Recommendations for how to find a supportive community.

Other:

What specific health topics might you be interested in learning more about? (check all that apply)

Diabetes prevention and treatment

Heart disease prevention and treatment

Cancer prevention and survival

Digestive health

Hormonal health

Kids health

Combating COVID-19

Other:

Feel free to tell me more about what you are interested in learning in this class.

What is one plant-based food/dish that you really love?

What is one food/dish that has meat/dairy/eggs that you might feel challenged to not eat?

What are your top three favorite vegetables?

Are there any foods that you avoid?

What month(s) would be most ideal to take this class? (check all that apply)

January

February

March

What kitchen tools do you have access to? Important: you don't need to have access to all of these for the class. (check all that apply)

Pots & pans

Knives for cutting vegetables

Cutting board

Stove

Oven

Microwave

Blender

Refridgerator

Freezer

Any feedback on how to improve this survey?

Thank you for taking the time to fill this out! More soon...

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