Supplements
Please answer the following questions regarding supplements (which includes, but is not limited to vitamins, minerals, amino acids, herbs, botanicals -- excluding tobacco, in pill, capsule, tablet, or liquid form). Thank you for your participation!
* Required
Gender:
*
Male
Female
How old are you?
*
Are you vegetarian?
*
Yes
No
What is your degree program and concentration?
*
e.g. MPH, Nutrition
Do you take a supplement?
*
Yes
No
If yes, why are you taking a supplement?
Cosmetic
Immune Function
Treating a Disease
Dietary Deficiency
Insurance from Deficiencies
Other:
Does your income affect your decision to take supplements or not?
*
Yes
No
Which category of supplements are you taking?
Please check all that apply.
Protein/Amino Acids
Multivitamins (vitamins & minerals)
Single Vitamin or Mineral
Herb or Botanical
Weight Loss
Weight Gain
Other:
How many supplements are you taking?
1
1-3
3-5
5+
How often do you take supplements?
Daily
Weekly
Monthly
How did you hear about the supplement(s)?
Please check all that apply.
From a friend/family member
From an advertisement
From a supplement shop employee
From a healthcare professional
Other:
Did you look up information on the supplement's effectiveness and side effects before taking it/them?
Yes
No
Would you recommend the supplement(s)?
Yes
No
If you answer "yes" to the previous question, please list the supplements you would recommend.
If you are religious, please fill in your religious preference.
What is your current physical activity level?
*
I do not exercise
Less than once a week
Once a week
More than once a week
On a scale of 1 - 10, how important is health to you?
*
1
2
3
4
5
6
7
8
9
10
Unimportant
Very important