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 On a scale of 1-5, answer the following questions:

(1 = not at all/never, 5 = a lot/ very often)

1.     I have taken advantage of the gym/ exercised many times since I’ve been at school.

1

2.     I believe in the Freshman 15 and think that it is effecting me.

3.     I go to the dining halls and cafes more times a day than there are set meals- breakfast, lunch, and dinner.

4.     I keep a full supply of junk food in my room and I have gone to the store to buy more since I’ve been here.

5.     I have had food delivered since I’ve been here (Chinese, Campus Corner, Pizza, etc.)