1. This survey will examine lifestyle choices and health concerns of college students in North Alabama.
1. Gender
Male Female
2. Age group
17-22 23-27 28-36 37-45 46 and up
3. Ethnicity
Black White Hispanic Asian Pacific Islander
Native American Prefer not to answer
4. Relationship status
Single Single, but dating In an exclusive relationship
Engaged Married Divorced
5. How many children do you have?
0 1 2 3 4 5 More than 5
6. Please rate your concern of the following conditions by marking the appropriate box.
7. How active is your lifestyle?
Somewhat
Concerned
Very
Concerned
Extremely
Concerned
Not Concerned At
All
Obesity
Hypertension
Diabetes
STDs or HIV/AIDS
Cancer

2. Very active Moderate (somewhat active) Sedentary (not
moving around very much)
8. How often do you exercise weekly?
More than 3 days a week 3 days a week 2 days a week
One day a week Not at all
9. How many hours a day do you exercise?
More than 3 hours 3 hours 2 hours 1 hour
Less than one hour Not at all
10. What choices do you make to combat or prevent obesity? (Choose all that apply.)
Become more physically active Reduce sugar intake
Drink plenty of water Keep junk food out of the house
Watching my weight Reduce fat intake
11. What choices do you make to combat or prevent hypertension? (Choose all that apply.)
Reduce my sodium intake Reduce my stress level
Reduce my intake of fried foods Quit smoking
Knowing my family history of hypertension Regular exercise
12. How often do you visit your doctor for cancer screenings?
Once a year because I'm over 40 years old Once a year because cancer runs in my family
Only when I think something is wrong Never
13. What choices do you make to reduce your risk of acquiring an STDs or HIV/ AIDS? (Choose all that apply)

3. Abstinence Using a condom Getting tested
Being selective of sexual partners Limiting the number of sexual partners
14. In the past year, how many sexual partners have you had?
0 1-3 4-6 7-8 More than 8
15. When you engage in sexual intercourse, how often do you use a condom?
Every time I have sexual intercourse Sometimes Never
16. How often do you get tested for STDs or HIV/ AIDS?
Once a year Every now and then Never been tested