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Nurse Survey on Weight Loss
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What is your age?
Your answer
What is your race / ethnicity (optional)?
Your answer
What is your marital status (optional)?
Your answer
How many children do you have (optional)?
Your answer
What nursing specialty do you currently work in?
Your answer
How many hours per week do you work as a nurse?
Your answer
Do you work days, evenings, or nights?
Days
Evenings
Nights
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How much weight do you want to lose?
Your answer
How long do you think it should take to lose that amount of weight?
Your answer
What are your health and fitness goals?
Your answer
What are the biggest challenges you face trying to lose weight?
Your answer
What are your biggest concerns about losing weight?
Your answer
What kind of support would you need to be successful in losing weight?
Your answer
What types of weight loss programs or products have you tried in the past?
Your answer
What were you or were not satisfied with about those programs or products?
Your answer
What features are most important to you in a weight loss program or product?
Your answer
What are your biggest dietary challenges as a nurse?
Your answer
What are your biggest exercise challenges as a nurse?
Your answer
What are your biggest barriers to success when trying to lose weight?
Your answer
How much time do you have to devote to weight loss each day?
Your answer
What is your budget for weight loss?
Your answer
What are your most important factors when choosing a weight loss program or product?
Your answer
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