This document contains a questionnaire with structured, less structured, and unstructured questions about various health-related topics. The structured questions include dichotomous choice and multiple choice questions about gender, risk factors for heart disease, and computer usage. The less structured questions use Likert scales to assess attitudes toward abortion and exercise regardless of weather. Semantic differentials are used to rate opinions of smokeless tobacco and feelings during a test. Unstructured questions include short answer and essay questions about exercise habits, diet, advantages of worksite health programs, proper lifting technique, and differences between aerobic and anaerobic exercise.