Directions: Please circle the answer that best fits your view on the question.

If you would

like to elaborate on your answer, please do so in the space provided. This will be

anonymous and will be used for Shreyaa Nagajothis language arts project. Thank you!

1. Do you believe that obesity is a major issue in America?

a. Yes

b. No

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2. Do you feel that if Americans were more educated on how to live a healthy lifestyle, the

severity of the obesity epidemic would decrease?

a. Yes

b. No

______________________________________________________________________________

______________________________________________________________________________

3. Is obesity a problem that needs to be dealt with with the help of friends and family?

a. Yes

b. No

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______________________________________________________________________________
4.) Do you think obesity affects both emotional health and physical health?

a. Yes

b. No

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5.) Do you feel that obesity can be easily overcome if one is determined enough to change their

habits?

a. Yes

b. No

______________________________________________________________________________

______________________________________________________________________________

After completion, please return to Dr. Nagajothi. Thank you!