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 25% of survey complete.
INSTRUCTIONS The purpose of this survey is to estimate the amount of physical activity that you performed in the last 3 days. You will answer a separate set of questions for each day.

1. For each time period select the activity that corresponds to the main activity you actually performed during that particular time period.

2. Then rate how physically hard each activity was. Activities will be rated as either "Light", "Moderate", "Hard", or "Very Hard".

DO NOT USE YOUR BACKSPACE KEY OR ARROW KEYS WHILE TAKING THIS SURVEY. Please do your best and thank you for your help!

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* 1. Test Week:

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* 2. What is your JCPS computer logon user ID?
(Get it from your teacher if you don't know it.)

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* 3. What is your FULL last name?

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* 4. Which School do You Attend?

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* 5. In which month is your birthday?

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