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* 1. First Name

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* 2. Last Name

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* 3. PE Teacher's Last Name

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* 4. What is the name of your school?

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* 5. What is your age?

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* 6. What is your gender?

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* 7. What grade are you in?

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* 8. What is your Ethnicity?

For the following questions, there is only one CORRECT answer. Please choose the ONE bubble that best represents your answer. 

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* 9. How many MyPlate food groups are there?

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* 10. According two MyPlate guidelines, how much of your plate should be filled with fruits and vegetables?

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* 11. The healthiest choice for a 'sometimes' snack would be:

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* 12. The healthiest drink for children is:

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* 13. Experts recommend that children should be physically active for at least how many minutes per day?

For the following set of questions, there is NO right answer. Read all of the answers and pick the one that best answers the question for you. Remember that there is not a right answer and we want you to be as honest as possible. 

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* 14. How do you feel about eating fruits?

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* 15. How do you feel about eating vegetables?

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* 16. How do you feel about drinking water instead of pop/soda/juice/sports drinks?

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* 17. How do you feel about eating snacks that are healthy?

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* 18. Yesterday, did you eat any orange vegetables like carrots, squash, or sweet potatoes?

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* 19. Yesterday, did you eat any salad made with lettuce, or any green vegetables like spinach, green beans, broccoli, or other greens?

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* 20. Yesterday, did you eat any other vegetables like peppers, tomatoes, zucchini, asparagus, cabbage, cauliflower, cucumbers, eggplant, celery, or artichokes?

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* 21. Yesterday, did you eat fruit? Fruits are all fresh, frozen, canned, or dried fruits. Do not count fruit juice. 

For the following set of questions there is no right answer. Read all of the answers and pick the one that best answers the question for you. Remember, that there is not a right answer and we want you to be as honest as possible. Physical activity is a general word used to describe movement activities such as sports, games, exercise, walking to and from places, or doing chores at home. 

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* 22. The physical activity lessons provided during the school closure were fun for me.

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* 23. The physical activity lessons provided to me during the school closure were a valuable part of my life.

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* 24. I found the physical activity lessons provided to me during the school closure exciting.

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* 25. I found the physical activity lessons provided to me during the school closure improved my health.

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* 26. Physical activity helps me in a lot of different ways.

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* 27. It is important to be physically active.

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* 28. I feel happy when I am physically active.

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* 29. I think physical activity is important to do everyday.

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* 30. I have a lot of positive feelings when I do physical activity.

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* 31. Physical activity is important for my health.

For the following set of questions there is no right answer. Read all of the answers and pick the one that best answers the question for you. Remember that there is not a right answer and we want you to be as honest as possible.

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* 32. How much does your parents or the adult that takes care of you, encourage you to do physical activity?

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* 33. How much does your parents or the adult that takes care of you, do a physical activity with you?

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* 34. How much does your parents or the adult that takes care of you, watch you take part in physical activity?

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* 35. How much does your parents or the adult that takes care of you, talk with you about your physical activity?

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* 36. During the PAST 7 DAYS, did you exercise or take part in physical activity for AT LEAST 60 MINUTES per day? (Add up all the time you spent in any kind of physical activity that increased your hear rate and made you breathe hard some of the time.)

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* 37. During the PAST 7 DAYS, did you exercise or take part in physical activity that MADE YOUR HEART BEAT FAST AND MADE YOU BREATHE HARD FOR AT LEAST 20 MINS? (For example, basketball, soccer, running or jogging, fast dancing, swimming laps, tennis, fast bicycling, or similar aerobic activities.)

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* 38. During the PAST 7 DAYS how many days did you do exercises to strengthen or tone your muscles, such as push-ups, sit-ups, or weight lifting?

0 of 38 answered
 

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