OPH Obesity Services Vending Machine
Survey Has Concluded

Thank you for your interest.

Your Email Address:
1)Do you use the vending machines at work?
Yes No

2) How often do you buy items from a vending machine at work?
Never Almost Never (Once a month or less) Seldom (Once a week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

3) What do you usually buy? (Check all that apply)
Cookies Carbonated Soda Milk Chocolate
Fruit Drinks Peanuts Snack cakes Candy Bars Bottled Water
Sandwich Crackers(peanut butter or cheese) Potato Chips Popcorn
Fruit chews or other candy Gum Sandwich Other microwavable item

Below is a list of possible vending machine food items. Indicate how frequently you think
you would buy each of the following items:

4) Baked potato chips instead of regular potato chips
Never Seldom (Once a Week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

5) Bottled Water
Never Seldom (Once a Week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

6) 100% fruit or vegetable juice
Never Seldom (Once a Week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

7) Granola Bars
Never Seldom (Once a Week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

8) Flavored Milk
Never Seldom (Once a Week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

9) Pretzels
Never Seldom (Once a Week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

10) Flavored Yogurt
Never Seldom (Once a Week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

11) Skim Milk
Never Seldom (Once a Week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

12) Trail Mix
Never Seldom (Once a Week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

13) Peanuts
Never Seldom (Once a Week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

14) Regular Soda
Never Seldom (Once a Week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

15) Diet Soda
Never Seldom (Once a Week)
Occasionally (2 to 3 times a week) Often (4 to 5 times a week)

16) Would you support having only healthier foods/drinks as an option in the vending machines?
Yes No

17) Please list other healthier food/drink items you would purchase that were not listed above.