Health Related Behaviors Survey Template

A health behaviors survey is a set of questions that health practitioners will ask of patients in order to better understand the lifestyle choices they make and the impacts of those choices and behaviors on their health outcomes. In addition to compiling data on an individual’s health and habits, the survey will also try to gauge to what extent patients might be willing to make any changes to their lifestyles in order to improve their health. Insights are gathered which are typically related to physical activity, diet, smoking, alcohol consumption, frequency of healthcare appointments, sleep, stress, and supplements.

Health behaviors are measured by asking patients a range of different questions which relate to their lifestyles, habits, and physical health. Although such a survey can sometimes contain open questions, usually they are populated with closed or multiple choice questions for the collection of quantitative data. Quantitative data is ideal for comparing, tracking, and measuring patient data over time and, when surveys are conducted regularly, this type of data collection enables researchers to quickly see if the improvements they have implemented based on the data of previous surveys have been a success.

Let’s take a look at some sample questions from a health behaviors survey. 1) How many alcoholic drinks do you consume per week? A) None B) 1-2 drinks per week C) 3-4 drinks per week D) 5-6 drinks per week E) 7 or more drinks per week 2) How often in the past year did you go to see a doctor because you were sick? A) Never B) Once C) Twice D) Three or more times 3) How often do you get a good night's sleep (7-8 hours)? A) Never B) Rarely (less than once a week) C) Sometimes (1-2 times a week) D) Often (3-4 times a week) E) Very often (5 or more times a week)

The simplest way to create a health behaviors survey is to sign up to Checkbox and use the provided template. Start your free trial on Checkbox.com now–no credit card required.