Lifestyle Survey

//A quick lifestyle survey

Please fill in as many answers as possible

The survey should only take a few minutes to complete but please provide accurate and honest answers. Thank you.

We use this survey to be able to send you targeted information that we believe could help you lead a healthier lifestyle and get more from your medicines and NHS services.

    Measurements

    Smoking

    Do you smoke?

    Drinking

    How often do you have a drink containing alcohol?

    Exercise

    Do you do any exercise/physical activity?

    Eating

    Do you eat fruit and/or vegetables?

    Mental health

    Do you feel you have someone to talk to if you have a problem or are in a situation that is worrying or concerning you e.g family,friend, Doctor, colleague)?

    Physical health

    Have you taken part in a national or local campaign in the last year to improve your health (for example: joined one of the on-site fitness classes, enrolled at a gym, walk to work month, Dry January or Stoptober)?

    Have you increased your levels of walking in the last year?

    How do you travel to work?

    Mindfulness

    Are you aware of opportunities to take part in mindfulness initiatives (For example: mindfulness study days, stress management course, breathing exercise...)?

    Have you taken part in any mindfulness opportunities?

    Medical Conditions

    Do you have a long term, stable medical condition that requires regular medicine in the short to medium term?