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We want to help seniors in La Habra feel healthier. We are interested in your opinion to help us make positive changes in our senior community. Please help us by answering 20 easy questions.

None of this information will be shared with any other organization outside of the Move More, Eat Healthy Collaborative. We are interested in your opinion to make positive changes. Would you be willing to help us by answering 10 easy questions?

Move More, Eat Healthy
Senior Health Fair Participant Survey

We want to learn more about the health of older adults in La Habra.  We are interested in your opinion so we can make healthy changes in our community.  This should take less than 5 minutes of your time. Would you be willing to help us by answering a few questions?

These first questions are about your health.

This section is about Senior Week.

These questions are about today’s Health Fair.

This last section is to gather information about you.


Contact Information

If you answered YES to letting us contact you, please tell us your name and the best way to reach you.