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4GC Pre-Survey | Fall 2025

The 4th Grade Challenge Program is being offered at your school in partnership with Mosaic Life Care to help teach the importance of developing and participating in healthy habits. As part of that program, we would like to ask you a few simple questions around your current health habits and knowledge. All responses will be completely confidential. Thank you for your participation!
1.What school do you attend?
2.PHYSICAL ACTIVITY: How many minutes do you play or do physical activity in a typical day?
3.PHYSICAL ACTIVITY: How many minutes SHOULD you play or do physical activity in a typical day?
4.SCREEN TIME: How many hours do you watch tv, play video games, or use your computer for fun in a typical day?
5.SCREEN TIME: How many hours  SHOULD you watch tv, play video games, or use your computer for fun in a typical day?
6.DAIRY: How many servings of milk, yogurt, and other dairy products or dairy alternatives do you have in a typical day?
7.DAIRY: How many servings of milk, yogurt, and other dairy products or dairy alternatives SHOULD you have in a typical day?
8.WATER: How many cups of water do you drink in a typical day?
9.WATER: How many cups of water SHOULD you drink in a typical day?
10.SUGARY DRINKS:  How many sugary drinks do you have in a typical day? (example juice, soda, Gatorade)
11.SUGARY DRINKS:  How many sugary drinks SHOULD you have in a typical day? (example juice, soda, Gatorade)
12.FRUITS AND VEGETABLES: How much of your plate is fruits and/or vegetables?  
13.FRUITS AND VEGETABLES: How much of your plate SHOULD BE fruits and/or vegetables?  
14.HEALTHY MOUTH: How often do you brush your teeth? 
15.HEALTHY MOUTH: How often SHOULD you brush your teeth?
16.TOBACCO/VAPE USE: I plan to AVOID using tobacco/vaping products (such as vapes, e-cigarettes, cigarettes, or chewing tobacco)
17.MINDFULNESS: I practice mindfulness activities such as breathing exercises, talking with a friend or trusted adult, or exercising/yoga when I'm stressed.
Current Progress,
0 of 17 answered