STUDENT QUESTIONNAIRE ON HEALTHY EATING

The following questions ask about the foods and meals you eat. This is not a test. We want to learn about what kids your age feel about healthy eating.
 
The answers you give will be kept private. No one will ever know what you say unless you tell them. Your name will never be used.

Please be as honest as you can.

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* 1. From 1 to 7, please rate how you would respond to the question: For me, eating a healthy diet at least 6 times a week in the near future would be:

1 Very Bad 4 Neutral 7 Very good
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 2. From 1 to 7, please rate how you would respond to the question: For me, eating a healthy diet at least 6 times a week in the near future would be

1  not important 4 neutral 7 very important
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 3. From 1 to 7, please rate how you would respond to the question: For me, eating a healthy diet at least 6 times a week in the near future would be:

1 very unpleasant 4 neutral 7 very pleasant
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 4. From 1 to 7, please rate how you would respond to the question: For me, eating a healthy diet at least 6 times a week in the near future would be:

1 very stressful 4 neutral 7 very relaxing
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 5. From 1 to 7, please rate how you would respond to the question: For me, eating a healthy diet at least 6 times a week in the near future would be:

1 very useless 4 nuetral 7 very useful
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 6. From 1 to 7, please rate how you would respond to the question: For me, eating a healthy diet at least 6 times a week in the near future would be:

1  very harmful 4 neutral 7 very beneficial
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 7. From 1 to 7, please rate how you would respond to the question: For me, eating a healthy diet at least 6 times a week in the near future would be:

1 very absurd 4 neutral 7 very intelligent
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 8. From 1 to 7, please rate how you would  respond to the question: The people who are important to me think that I should eat a healthy diet at least 6 times a week in the near future 

1 strongly disagree 4 nuetral 7 strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 9. From 1 to 7, please rate how you would respond to the question: If I wanted to, I could eat a healthy diet 6 times in the near future

1  strongly disagree 4 neutral 7 strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 10. From 1 to 7, please rate how you would respond to the question: I thought about eating a healthy diet at least 6 times a week in the near future. 

1  strongly disagree 4 neutral 7 strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 11. From 1 to 7, please rate how you would respond to the question: The majority of the people who are important to me want me to eat a healthy diet at least 6 times a week in the near future

1 strongly disagree 4 neutral 7 strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 12. From 1 to 7, please rate how you would respond to the question: I am motivated to eat a healthy diet at least 6 times a week in the near future because this is what the majority of the people who are important to me expect me to do

1 strongly disagree 4 neutral 7 strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 13. From 1 to 7, please rate how you would respond to the question: I will try to eat a healthy diet at least 6 times a week in the near future

1 strongly disagree 4 neutral 7 strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 14. From 1 to 7, please rate how you would respond to the question: I believe that I have control over eating a healthy diet at least 6 times a week in the near future 

1 strongly disagree 4 nuetral 7  strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 15. From 1 to 7, please rate how you would respond to the question: It depends entirely on me whether I eat a healthy diet at least 6 times a week in the near future

1 strongly disagree 4 neutral 7 strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 16. From 1 to 7, please rate how you would respond to the question: I will make an effort to eat a healthy diet at least 6 times a week in the near future

1 strongly disagree 4 neutral 7 strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 17. From 1 to 7, please rate how you would respond to the question: I believe I am capable of eating a healthy diet at least 6 times a week in the near future

1 strongly disagree 4 neutral 7 strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 18. From 1 to 7, please rate how you would respond to the question: The majority of the people who are important to me expect me to eat a healthy diet at least 6 times a week in the near future

1 strongly disagree 4 neutral 7 strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 19. From 1 to 7, please rate how you would respond to the question: I do not have difficulties to eat a healthy diet at least 6 times a week in the near future

1 strongly disagree 4 neutral 7 strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 20. From 1 to 7, please rate how you would respond to the question: I will attempt to eat a healthy diet at least 6 times a week in the near future

1 strongly disagree 4 neutral 7 strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 21. What is your gender?

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* 22. What is your age?

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* 23. Which race/ethnicity best describes your child? (Please choose only one.)

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* 24. Student ID number 

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* 25. What school do you attend

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* 26. Who do you live with

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