Who in your life is the MOST helpful, encouraging, and/or supportive? *
Your answer
How in particular do they help, encourage, and/or support you? *
Your answer
Who in your life is the LEAST helpful, encouraging, and/or supportive? *
Your answer
How in particular do they NOT help, encourage, and/or support you? *
Your answer
In an ideal world, what kinds of help, encouragement, and/or support would you like to have as you work to change, build, and /or maintain your health, nutrition, and/or exercise habits? *
Your answer
Right now, how could the people around you best help, encourage, and support you as you work to change, build, and/or maintain your health, nutrition, and / or exercise habits? *
Your answer
Right now, what is ONE thing you could do, try, and/or explore to improve your social support team or systems? *
Your answer
A copy of your responses will be emailed to the address you provided.