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Do you routinely consume those beverages believing they help you do something? If so, what? Do you just drink it/them for taste?

 

Beverage: ___________ Why: ____________________________________________

 

Beverage: ___________ Why: ____________________________________________

 

Beverage: ___________ Why: ____________________________________________

 

Beverage: ___________ Why: ____________________________________________

 

 

What is the most unhealthy/stressful factor in your life (don’t think too hard— academic stress, social anxiety, insomnia, body image)? (This is an anonymous survey.)

 

 

On a scale from 1 to 10, how hard do you try to stay healthy? (10 being most effort, 1 the least)

 

1            2            3            4            5            6            7            8            9            10

 

 

On a scale from 1 to 10, how much do you care about being academically successful? (not necessarily the same as how “academically successful” you actually are!)

 

1            2            3            4            5            6            7            8            9            10