Eat Right, Play Hard, Learn Better!

Increase Physical Activity & Nutrition in the Classroom

January 8th-March 9th

2018

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* 1. Participant Information

School Name:

Your Name:

Grade:

Phone Number:

Email:

Number of Students:

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* 2. What resources are used to incorporate nutrition and make your classroom kinesthetic? Please select all that apply.

Go Noodle

It's All About Kids games

Nutrition Detectives

CATCH Curriculum

ChooseMyPlate.org

Other (please specify)

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* 3. Average weekly physical activity in the classroom (in minutes):

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* 4. Have you seen improvement in your students in any of the following areas? Please select all that apply.

Food choices during snack/lunch

Focus/Concentration

Participation

Behavior

Have not observed any changes

Other (please specify)

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* 5. Please share any examples you have observed of improvement/increased knowledge from the students.

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* 6. Is there any equipment/supplies that you would like to have to better incorporate nutrition and physical activity in your classroom? How will the equipment/supplies be utilized?

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* 7. Which of the following would you be interested in if you were selected? Please rank the top three.

PE Equipment

Action Based Learning Supplies

Nutrition Resources

Special Classroom Presentation

Kinesthetic Classroom Equipment

Other Health Education Resource

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* 8. How likely are you to participate in future school health challenges?

Very likely

Likely

Somewhat likely

Not likely

If you chose 'Somewhat' or 'Not,' please explain why.

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* 1. Participant Information

Question Title

* 2. What resources are used to incorporate nutrition and make your classroom kinesthetic? Please select all that apply.

Question Title

* 3. Average weekly physical activity in the classroom (in minutes):

Question Title

* 4. Have you seen improvement in your students in any of the following areas? Please select all that apply.

Question Title

* 5. Please share any examples you have observed of improvement/increased knowledge from the students.

Question Title

* 6. Is there any equipment/supplies that you would like to have to better incorporate nutrition and physical activity in your classroom? How will the equipment/supplies be utilized?

Question Title

* 7. Which of the following would you be interested in if you were selected? Please rank the top three.

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* 8. How likely are you to participate in future school health challenges?

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* 9. Comments and/or Questions?