2017 Men and Health Online Survey

1.

NDSU Extension Service - Department of Health, Nutrition and Exercise Sciences; EML 316; North Dakota State University

Men are invited to participate in a short online survey about nutrition and health being conducted by Julie Garden-Robinson, NDSU Extension Service Food and Nutrition Specialist, Cindy Klapperich, Extension Agent, and Kristi Berdal, Extension Agent. If you are a woman and would like to fill this out based on your perceptions of men, you can do that, too. However, please be sure to mark the "female" box later in the survey. If you are filling out the survey for a man and your answers are based on his responses, mark "male."

The NDSU Extension Service Nutrition and Health program is conducting a research study to learn which nutrition/health topics are of interest to men ages 18 and older and how men prefer to receive health-related information. Your participation is entirely voluntary, and you may withdraw from participation at any time. Participating in the survey will take about 10 minutes of your time. The survey is anonymous, and we foresee no risks related to participating in the survey. All data will be presented in summarized form. We will use the information to create health education materials for men. We will have prize drawings for items such as two $50 gift cards, calendars, cookbooks, as a small token of our appreciation for your assistance. Upon completion, you will be taken to a separate web page to type your name, address and email so we can mail the prize and alert you if you won.

For questions about the rights of research participants, or to report a problem, please contact the NDSU Institutional Review Board (IRB) at 701-231-8995 or tolle-free at 1-855-800-6717 (ndsu.irb@ndsu.edu) or Julie Garden-Robinson at 701-231-7187 (e-mail: julie.garden-robinson@ndsu.edu).

We greatly appreciate your input. Thank you for being part of this project!

Question Title

* 1. Which health conditions are of interest/concern to you? (Mark all that apply)

Cancer (especially colon)

Cataracts, other eye issues

Diabetes

Heart disease

High blood pressure

High cholesterol

High triglycerides

Joint/bone health/arthritis

Mental health (depression, anxiety, etc.)

Osteoporosis

Overweight/obesity

Prostate health

Sexual health

Sexually transmitted infections

Skin cancer

Sleep/ sleep apnea

Stress

None of the above

Other (please specify)

Question Title

* 2. What nutrition or health topics are of interest to you? Rate each of these on a 1 to 5 scale (1 = not interested at all; 5 = very interested)

	1. Not interested at all	2.	3. Interested	4.	5. Very interested
Nutritional needs of men	Nutritional needs of men 1. Not interested at all	Nutritional needs of men 2.	Nutritional needs of men 3. Interested	Nutritional needs of men 4.	Nutritional needs of men 5. Very interested
Making healthy choices in restaurants	Making healthy choices in restaurants 1. Not interested at all	Making healthy choices in restaurants 2.	Making healthy choices in restaurants 3. Interested	Making healthy choices in restaurants 4.	Making healthy choices in restaurants 5. Very interested
Healthy snacks at your desk or on the road	Healthy snacks at your desk or on the road 1. Not interested at all	Healthy snacks at your desk or on the road 2.	Healthy snacks at your desk or on the road 3. Interested	Healthy snacks at your desk or on the road 4.	Healthy snacks at your desk or on the road 5. Very interested
Cooking for one or two	Cooking for one or two 1. Not interested at all	Cooking for one or two 2.	Cooking for one or two 3. Interested	Cooking for one or two 4.	Cooking for one or two 5. Very interested
Basic cooking skills	Basic cooking skills 1. Not interested at all	Basic cooking skills 2.	Basic cooking skills 3. Interested	Basic cooking skills 4.	Basic cooking skills 5. Very interested
Quick healthy recipes	Quick healthy recipes 1. Not interested at all	Quick healthy recipes 2.	Quick healthy recipes 3. Interested	Quick healthy recipes 4.	Quick healthy recipes 5. Very interested
Shopping for one or two	Shopping for one or two 1. Not interested at all	Shopping for one or two 2.	Shopping for one or two 3. Interested	Shopping for one or two 4.	Shopping for one or two 5. Very interested
Fats in a healthy diet	Fats in a healthy diet 1. Not interested at all	Fats in a healthy diet 2.	Fats in a healthy diet 3. Interested	Fats in a healthy diet 4.	Fats in a healthy diet 5. Very interested
Carbohydrates and a healthy diet	Carbohydrates and a healthy diet 1. Not interested at all	Carbohydrates and a healthy diet 2.	Carbohydrates and a healthy diet 3. Interested	Carbohydrates and a healthy diet 4.	Carbohydrates and a healthy diet 5. Very interested
Proteins in a healthy diet	Proteins in a healthy diet 1. Not interested at all	Proteins in a healthy diet 2.	Proteins in a healthy diet 3. Interested	Proteins in a healthy diet 4.	Proteins in a healthy diet 5. Very interested
Fiber in a healthy diet	Fiber in a healthy diet 1. Not interested at all	Fiber in a healthy diet 2.	Fiber in a healthy diet 3. Interested	Fiber in a healthy diet 4.	Fiber in a healthy diet 5. Very interested
Fitness programs	Fitness programs 1. Not interested at all	Fitness programs 2.	Fitness programs 3. Interested	Fitness programs 4.	Fitness programs 5. Very interested
Smoking cessation	Smoking cessation 1. Not interested at all	Smoking cessation 2.	Smoking cessation 3. Interested	Smoking cessation 4.	Smoking cessation 5. Very interested
Eye health	Eye health 1. Not interested at all	Eye health 2.	Eye health 3. Interested	Eye health 4.	Eye health 5. Very interested
Vitamins/other dietary supplements	Vitamins/other dietary supplements 1. Not interested at all	Vitamins/other dietary supplements 2.	Vitamins/other dietary supplements 3. Interested	Vitamins/other dietary supplements 4.	Vitamins/other dietary supplements 5. Very interested
Weight loss programs	Weight loss programs 1. Not interested at all	Weight loss programs 2.	Weight loss programs 3. Interested	Weight loss programs 4.	Weight loss programs 5. Very interested
How to read a nutrition label	How to read a nutrition label 1. Not interested at all	How to read a nutrition label 2.	How to read a nutrition label 3. Interested	How to read a nutrition label 4.	How to read a nutrition label 5. Very interested
Medications	Medications 1. Not interested at all	Medications 2.	Medications 3. Interested	Medications 4.	Medications 5. Very interested
Supplements (especially protein)	Supplements (especially protein) 1. Not interested at all	Supplements (especially protein) 2.	Supplements (especially protein) 3. Interested	Supplements (especially protein) 4.	Supplements (especially protein) 5. Very interested
Health screenings and tests	Health screenings and tests 1. Not interested at all	Health screenings and tests 2.	Health screenings and tests 3. Interested	Health screenings and tests 4.	Health screenings and tests 5. Very interested
Other (please specify in the box below)	Other (please specify in the box below) 1. Not interested at all	Other (please specify in the box below) 2.	Other (please specify in the box below) 3. Interested	Other (please specify in the box below) 4.	Other (please specify in the box below) 5. Very interested

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* 3. Where do you get your nutrition and health information? (Please rate on a 1 to 5 scale; 1 = never; 5 = most frequent)

	Never				Frequently
TV (talk shows, etc.)	TV (talk shows, etc.) Never	TV (talk shows, etc.)	TV (talk shows, etc.)	TV (talk shows, etc.)	TV (talk shows, etc.) Frequently
Radio	Radio Never	Radio	Radio	Radio	Radio Frequently
Newspapers	Newspapers Never	Newspapers	Newspapers	Newspapers	Newspapers Frequently
Facebook, Twitter, other social media	Facebook, Twitter, other social media Never	Facebook, Twitter, other social media	Facebook, Twitter, other social media	Facebook, Twitter, other social media	Facebook, Twitter, other social media Frequently
Advertisements, including "infomericals"	Advertisements, including "infomericals" Never	Advertisements, including "infomericals"	Advertisements, including "infomericals"	Advertisements, including "infomericals"	Advertisements, including "infomericals" Frequently
Magazine articles	Magazine articles Never	Magazine articles	Magazine articles	Magazine articles	Magazine articles Frequently
Spouse/significant other	Spouse/significant other Never	Spouse/significant other	Spouse/significant other	Spouse/significant other	Spouse/significant other Frequently
Relatives (parent, etc.)	Relatives (parent, etc.) Never	Relatives (parent, etc.)	Relatives (parent, etc.)	Relatives (parent, etc.)	Relatives (parent, etc.) Frequently
Friends	Friends Never	Friends	Friends	Friends	Friends Frequently
Health professional (dietitian, doctor, nurse, pharmacist in clinic or public health office)	Health professional (dietitian, doctor, nurse, pharmacist in clinic or public health office) Never	Health professional (dietitian, doctor, nurse, pharmacist in clinic or public health office)	Health professional (dietitian, doctor, nurse, pharmacist in clinic or public health office)	Health professional (dietitian, doctor, nurse, pharmacist in clinic or public health office)	Health professional (dietitian, doctor, nurse, pharmacist in clinic or public health office) Frequently
Extension Service programs/materials (state or county)	Extension Service programs/materials (state or county) Never	Extension Service programs/materials (state or county)	Extension Service programs/materials (state or county)	Extension Service programs/materials (state or county)	Extension Service programs/materials (state or county) Frequently
Classes/presentations	Classes/presentations Never	Classes/presentations	Classes/presentations	Classes/presentations	Classes/presentations Frequently
Websites	Websites Never	Websites	Websites	Websites	Websites Frequently
None of these	None of these Never	None of these	None of these	None of these	None of these Frequently

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* 4. Please rate your interest in learning more about nutrition and health as it relates to men. (1 = not interested at all; 3 = somewhat interested; 5=very interested)

	1. Not interested at all	2.	3. Somewhat interested	4.	5. Very interested
Food/nutrition	Food/nutrition 1. Not interested at all	Food/nutrition 2.	Food/nutrition 3. Somewhat interested	Food/nutrition 4.	Food/nutrition 5. Very interested
Health	Health 1. Not interested at all	Health 2.	Health 3. Somewhat interested	Health 4.	Health 5. Very interested

Question Title

* 5. How would you prefer to get information about nutrition and health issues? (1= least effective method; 5 = most effective method)

	1. Least effective	2.	3. Somewhat effective	4.	5. Most effective
Face-to-face conversation/consultation with a professional (dietitian, doctor, nurse, pharmacist in clinic or public health office)	Face-to-face conversation/consultation with a professional (dietitian, doctor, nurse, pharmacist in clinic or public health office) 1. Least effective	Face-to-face conversation/consultation with a professional (dietitian, doctor, nurse, pharmacist in clinic or public health office) 2.	Face-to-face conversation/consultation with a professional (dietitian, doctor, nurse, pharmacist in clinic or public health office) 3. Somewhat effective	Face-to-face conversation/consultation with a professional (dietitian, doctor, nurse, pharmacist in clinic or public health office) 4.	Face-to-face conversation/consultation with a professional (dietitian, doctor, nurse, pharmacist in clinic or public health office) 5. Most effective
Classes from nutrition educator (Extension agent or other)	Classes from nutrition educator (Extension agent or other) 1. Least effective	Classes from nutrition educator (Extension agent or other) 2.	Classes from nutrition educator (Extension agent or other) 3. Somewhat effective	Classes from nutrition educator (Extension agent or other) 4.	Classes from nutrition educator (Extension agent or other) 5. Most effective
Conversations with spouse/significant other	Conversations with spouse/significant other 1. Least effective	Conversations with spouse/significant other 2.	Conversations with spouse/significant other 3. Somewhat effective	Conversations with spouse/significant other 4.	Conversations with spouse/significant other 5. Most effective
Conversation with relative (mother, father, etc.)	Conversation with relative (mother, father, etc.) 1. Least effective	Conversation with relative (mother, father, etc.) 2.	Conversation with relative (mother, father, etc.) 3. Somewhat effective	Conversation with relative (mother, father, etc.) 4.	Conversation with relative (mother, father, etc.) 5. Most effective
Conversations with friend	Conversations with friend 1. Least effective	Conversations with friend 2.	Conversations with friend 3. Somewhat effective	Conversations with friend 4.	Conversations with friend 5. Most effective
Emails	Emails 1. Least effective	Emails 2.	Emails 3. Somewhat effective	Emails 4.	Emails 5. Most effective
Facebook, Twitter, other social media	Facebook, Twitter, other social media 1. Least effective	Facebook, Twitter, other social media 2.	Facebook, Twitter, other social media 3. Somewhat effective	Facebook, Twitter, other social media 4.	Facebook, Twitter, other social media 5. Most effective
Website fact sheets	Website fact sheets 1. Least effective	Website fact sheets 2.	Website fact sheets 3. Somewhat effective	Website fact sheets 4.	Website fact sheets 5. Most effective
Interactive online module(s)	Interactive online module(s) 1. Least effective	Interactive online module(s) 2.	Interactive online module(s) 3. Somewhat effective	Interactive online module(s) 4.	Interactive online module(s) 5. Most effective
Workshops and seminars	Workshops and seminars 1. Least effective	Workshops and seminars 2.	Workshops and seminars 3. Somewhat effective	Workshops and seminars 4.	Workshops and seminars 5. Most effective
TV/video	TV/video 1. Least effective	TV/video 2.	TV/video 3. Somewhat effective	TV/video 4.	TV/video 5. Most effective
Radio	Radio 1. Least effective	Radio 2.	Radio 3. Somewhat effective	Radio 4.	Radio 5. Most effective
Brochures	Brochures 1. Least effective	Brochures 2.	Brochures 3. Somewhat effective	Brochures 4.	Brochures 5. Most effective
Blog postings	Blog postings 1. Least effective	Blog postings 2.	Blog postings 3. Somewhat effective	Blog postings 4.	Blog postings 5. Most effective
Other (please specify in the box below)	Other (please specify in the box below) 1. Least effective	Other (please specify in the box below) 2.	Other (please specify in the box below) 3. Somewhat effective	Other (please specify in the box below) 4.	Other (please specify in the box below) 5. Most effective

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Question Title

* 6. How INTERESTED are you in making changes in your lifestyle to potentially extend your life? Rate these on a 1 to 5 scale (1= not interested at all; 5 = very interested)

	1. Not interested at all	2.	3. Somewhat interested	4.	5. Very interested
Level of interest	Level of interest 1. Not interested at all	Level of interest 2.	Level of interest 3. Somewhat interested	Level of interest 4.	Level of interest 5. Very interested

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* 7. How READY are you to make changes in your lifestyle to potentially extend a healthy life? (1 = the least amount and 5 = the most)

	1. Not ready at all	2.	3. Somewhat ready	4.	5. Very ready
Level of readiness	Level of readiness 1. Not ready at all	Level of readiness 2.	Level of readiness 3. Somewhat ready	Level of readiness 4.	Level of readiness 5. Very ready

Please explain your answer.

Question Title

* 8. About how often do you visit a healthcare professional for a physical examination? (Choose one)

Every year

Every 2 years

Every 3 to 5 years

Only when sick

Never

Other (please specify)

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* 9. Who makes most of the food buying decisions in your household? (choose one)

Self

Spouse/significant other

Someone else

We make the decisions jointly

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* 10. During a typical week, how many meals do you eat away from home?

5 or fewer

6 to 10

11 or more

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* 11. Of your meals eaten away from home, how often do you use the following foods?

	Never/rarely	Sometimes	Often
Home prepared (sandwiches, leftovers, etc.) by myself or someone else	Home prepared (sandwiches, leftovers, etc.) by myself or someone else Never/rarely	Home prepared (sandwiches, leftovers, etc.) by myself or someone else Sometimes	Home prepared (sandwiches, leftovers, etc.) by myself or someone else Often
Food prepared and eaten in a restaurant, pub, or other place	Food prepared and eaten in a restaurant, pub, or other place Never/rarely	Food prepared and eaten in a restaurant, pub, or other place Sometimes	Food prepared and eaten in a restaurant, pub, or other place Often
Fast Food/Food on the run (Drive-through, convenience store/deli/carry-out, vending machine)	Fast Food/Food on the run (Drive-through, convenience store/deli/carry-out, vending machine) Never/rarely	Fast Food/Food on the run (Drive-through, convenience store/deli/carry-out, vending machine) Sometimes	Fast Food/Food on the run (Drive-through, convenience store/deli/carry-out, vending machine) Often
Prepackaged/frozen meals from grocery store or vendor	Prepackaged/frozen meals from grocery store or vendor Never/rarely	Prepackaged/frozen meals from grocery store or vendor Sometimes	Prepackaged/frozen meals from grocery store or vendor Often

Some other place (please specify)

Question Title

* 12. How would you rate your overall dietary choices? (Choose one)

I always make healthy choices.

I usually make healthy choices.

I sometimes make healthy choices.

I rarely make healthy choices.

I never make healthy choices.

Question Title

* 13. How many alcoholic beverages do you consume in a typical week? (1 alcoholic beverage = 1 can beer OR 5 ounces wine OR 1 mixed drink)

0 to 2 alcoholic beverages per week

3 to 5 alcoholic beverages per week

6 to 8 alcoholic beverages per week

9 to 11 alcoholic beverages per week

12 or more alcoholic beverages per week

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* 14. Are you:

Underweight

At ideal weight

Overweight

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* 15. Are you satisfied with your weight?

Yes

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* 16. On most days of the week, how many minutes of exercise or physical activity do you get?

Less than 15 minute total, per day

16 to 30 minutes total, per day

31-60 minutes total, per day

More than 60 minutes total, per day

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* 17. In what state do you reside?

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* 18. Are you:

Male

Female

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* 19. Are you:

Living alone

Living with other(s)

Other (please specify)

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* 20. What is your age?

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* 21. Indicate the population of your place of residence

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* 22. Please add any additional information that you would like us to consider as we develop/identify health education materials for men.

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100% of survey complete.