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健康访谈甄别问卷

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尊敬的用户

健康访谈
第1页

Dear Respondent,

Thank you for spenting time to complete the questionnaire.

Please answer the questions in ENGLISH.

1.

Please choose your gender.

[单选题] *    

2. What is your age? [填空题] *    

3. Do you or any of your family work in advertising, market research, public relations, design or branding companies? [单选题] *    
4. Do you or any of your family work for a food or beverage manufacturer, distributor or retailer? [单选题] *    
5. What is your employment status? [单选题] *    

6. In what industry do (did) you work? [填空题] *    

7. What is (was) the nature of the work you do (did)? [填空题] *    

8. Including yourself, how many people live at home with you? [填空题] *    

9. What is the relationship of each person in your home to you? [多选题] *    

10. What is your total annual household income? [单选题] *    
11. Are you currently being treated for a medical condition? [单选题] *    
12. What is the highest level of education that you completed? [单选题] *    
13. Do you speak English?
[单选题] *    
第2页
14. Do you use the Internet?
[单选题] *    

15. What do you do on the internet?
[多选题] *    

16. You mention that you have soical online communication, what websites or tools do you use?
[多选题] *    

17. For the below options, what do you concern about?
[单选题] *    

18. For the knowledge of PHYSICAL health, where do you get it?
[多选题] *    

19. For the PHYSICAL health, what do you do to achieve the fitness?
[填空题] *    

20. For the knowledge of MENTAL health, where do you get it?
[多选题] *    

21. For the MENTAL health, what do you do to achieve the fitness?
[填空题] *    

第3页

Definition of "Presence":

Presence is a feeling and a state of being. It is a concurrent awareness of yourself, the people around you, and your surroundings. Presence helps you connect to your purpose.

Presence means having the clarity you need to accomplish what you want to do. It represents who you are, and your strong desire to live in the moment according to the values that define your. Refreshment, nourishment, interaction, enjoyment and hydration all contribute to this feeling of presence.

 

To summarize, Presence is about:

       Being in the now

       Being in tune with yourself and your surroundings

       Living life to your fullest

Using a scale of 1 to 5, where 1 is agree strongly and 5 is strongly disagree, which of the following statements best describes you?

22. Presence is important to me and I am currently taking steps to achieve it. [单选题] *    

23. What are 1 or 2 steps you are taking to achieve Presence? [填空题] *    

24. I view stress as my enemy and I am always looking for ways to help eliminate it [单选题] *    

25. What are 1 or 2 ways you’ve tried to eliminate stress? [填空题] *    

26. I believe sleep, rest and relaxation are all necessary to achieve Presence. [单选题] *    
27. In order to stay connected, I often utilize social media (twitter, blogs etc.) to find like-minded people. [单选题] *    

28. When is the last time you connected with like-minded people via social media? [填空题] *    

29. When it comes to my overall health, I would consider myself to be proactive. [单选题] *    

30. What are 1or 2 proactive things you’ve done for your health? [填空题] *    

31. I have a desire to change the world and feel I have the power to make a difference. [单选题] *    
32. When I comes to understanding myself, I feel like I am in touch and aware of what I need to feel my best. [单选题] *    
33. Staying current in global events is very important to me. [单选题] *    

34. What news or media sources do you use to stay current? [填空题] *    

35. I am very conscious of what I do and what I consume and its overall effect me. [单选题] *    
36. Given the steps I have taken thus far, I would consider myself to be part of a Presence movement. [单选题] *    
37. Nutrition is important. I believe what I consume (foods and beverages) can play an important role in helping me achieve Presence. [单选题] *    

38. What are 1 or 2 things you consume that help you achieve Presence? [填空题] *    

39. I am aware of what I need to achieve Presence. However, I am looking for solutions to help me achieve it. [单选题] *    

40. What keeps you from achieving Presence, and where are you looking for solutions? [填空题] *    

41. I reflect on previous decisions I have made in order to make better decisions in the future. [单选题] *    

42. Can you give an example? [填空题] *    

第4页

Definition of "Presence":

Presence is a feeling and a state of being. It is a concurrent awareness of yourself, the people around you, and your surroundings. Presence helps you connect to your purpose.

Presence means having the clarity you need to accomplish what you want to do. It represents who you are, and your strong desire to live in the moment according to the values that define your. Refreshment, nourishment, interaction, enjoyment and hydration all contribute to this feeling of presence.

 

To summarize, Presence is about:

       Being in the now

       Being in tune with yourself and your surroundings

       Living life to your fullest

43. What steps have you taken to help you achieve Presence? [多选题] *    

44. We are looking for a variety of people, which statement best describes you? [单选题] *    
45.

We are looking for all types of people, which statement best describes you?

Reminder  - Presence about Being in the now, Being in tune with yourself and your surroundings, and Living life to your fullest.

[单选题] *    

46. Using a scale of 1 to 5, where 1 is agree strongly and 5 is strongly disagree, which of the following statements best describes you? [矩阵单选题] *    

 

Agree Strongly

Agree

Neutral

Disagree

Disagree Strongly

I feel I have complete control over the tension that occurs between what I have to do and what I want to do.

I am very conscious of what I put into my body and its overall effect on my health and well-being

I thrive on stress and consider it an important factor in my life.

Those that know me would describe me as a problem solver

In general, when it comes to making a behavior change, even though it takes effort, I have the motivation to be successful.

I feel like I have all the products and services I need to help me achieve presence

In general, I work towards setting and accomplishing my goals

I feel like I have all the tools I need to improve my physical, mental and emotional well-being.

47. Try to imagine and describe for me: What would an ideal routine or set of practices look like if you were successfully achieving Presence? [填空题] *    

48. How does your current life compare to that ideal you just described? Why? Please be specific. [填空题] *    

49. Thank you for your participation. Do you have a Skype ID? If yes, please tell us:
[填空题] *    

第5页

以下题目请使用中文回答。

50. 请问您的姓名是 [填空题] *    

51. 请问您现在的年龄是 [填空题] *    

52. 请问您的工作单位是 [填空题] *    

53. 请问您现在的职位是 [填空题] *    

54. 请问您的联系方式(手机号码)是 [填空题] *    

55. 请问您的电子邮箱是 [填空题] *    

非常感谢您的参与,祝您生活愉快!

51调查网 谢谢您的参与
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