HEART HEALTH SURVEY
 
INTRODUCTION: We are studying attitudes about cardio health and healthy eating habits. Your feedback will be anonymous and will help to shape the educational materials and healthy products that are made available to Americans. Please begin the survey now.
 
 
Please indicate whether you are concerned about any of these cardio health problems. . . . (check all that apply)
Concerned for MyselfI've Been Diagnosed With This ConditionConcerned for a Family Member
Heart attack
Heart disease
High blood pressure
High cholesterol
Peripheral Artery Disease (PAD)
Stroke
 
 
Have any of your close relatives suffered from cardio health problems? If yes, please indicate which relatives. (check all that apply)
 
 
 
 
 
 
 
 
 
 
Would you like to learn more about any of these health topics? (check all that apply)
 
 
 
 
 
 
 
      
 
 
What brand(s) of Probiotic Yogurts have you heard of, have you bought in the last 3 months, and which ones do you plan to buy next? (Please complete all 3 columns, marking any that apply)
Heard OfBought in Past 3 MonthsPlan to Buy Next
Breyer’s Light
Dannon Activia
LaYogurt
Stonyfield Farms
Yoplait Yo-Plus
Store brand probiotic yogurt
Other
None/Don’t know
 
 
What type of soup do you prefer? (check all that apply)
 
 
 
 
 
 
 
 
      
 
Please contact survey@adialogue.com if you have any questions regarding this survey.