1. *Do you provide care to someone who is dependent on you due to a health or aging issue?
*Share the main reason your care-receiver drinks Ensure.
*Share the main reason you drink Ensure.
To provide nutrition during or after cancer treatment
To provide nutrition during or after a hospital stay
To help maintain an active lifestyle
To help maintain health
*How did you or your care-receiver first hear about Ensure Healthy Matters?
*How did you first hear about Ensure Healthy Matters?
From doctor or handout in the hospital
From doctor or handout in healthcare professional's office
Family or friend recommendation
TV or magazine advertisement
Newspaper insert (coupon)
In retail store
*Which of the following best describes your care-receiver's attitude about his/her health?
*Which of the following best describes your attitude toward health?
I'm fighting a health battle that I want to win as soon as possible.
I may be frail and in need of help, but I want to keep moving.
I got a wake-up call and want to make sure nothing bad happens (again).
I accept that my health is poor, but I will enjoy my life while I still can.
I'm in an OK place and want to stay here as long as possible.
I need to lose weight but it has to be easy.
My health isn't on my mind and I hope it stays that way.
I want to be my best me and work at feeling (and looking) younger.
*On a scale of 1-10, how would you rate your care-receiver's degree of health today? (1 = Extremely poor health, 10 = Perfect health)
*On a scale of 1-10, how would you rate your degree of health today? (1 = Extremely poor health, 10 = Perfect health)
*How much do you agree/disagree with this statement:
My care-receiver's actions and behaviors determine how healthy he/she is. *How much do you agree/disagree with this statement:
My actions and behaviors determine how healthy I am.
Neither agree nor disagree
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. Limit one enrollment per household.