Hawaii 5210 Be Well at School Project

The University of Hawaii School of Medicine, in partnership with your school, is conducting this project. The goal of this project is to improve the health of kids in Hawaii by understanding what kids drink throughout the day. We would like to ask you to please answer the questions below. We expect that the students in Grades 6 through 12 from your school, and about 15 other schools, will participate in the survey. Your honest answers are important and will help us understand what kids choose to drink.
It’s your choice: It should take about 10 minutes to complete this survey. However, if for any reason, you do not want to answer some, or all of these questions, you don’t have to. Your decision will not affect your school grades at all.
Please do not put your name on the answer sheet. We don’t want anyone to know how you answered the questions. We will collect the answers from all the students from your school and let you know the results.

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* 1. How old are you?

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* 2. What grade are you in?

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* 3. Are you female or male?

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* 4. During the PAST 7 DAYS, how many times did you drink a can, bottle or glass of carbonated drink or soda (For example: Coke, Pepsi, or Sprite)? Do not include sugar free or diet sodas. [One answer only]

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* 5. During the PAST 7 DAYS, how many times did you drink a can, bottle or glass of SPORTS DRINKS (For example: Powerade or Gatorade)? Do not include diet free or diet sodas. [One answer only]

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* 6. During the PAST 7 DAYS, how many times did you drink a can, bottle or glass of ENERGY DRINKS (For example: Monster, RedBull, Rockstar or Full Throttle). [One answer only]

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* 7. During the PAST 7 DAYS, how many times did you drink a can, bottle or glass of tea or coffee with sugar (For example: Arizona, Lipton, Starbucks Frappuccino)? Do not include sugar-free or diet sodas. [One answer only]

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* 8. During the PAST 7 DAYS, how many times did you drink a can, bottle or glass of 100% fruit juice (For example: 100% orange juice or apple juice)? Do not include sugar-free or diet sodas. [One answer only]

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* 9. During the PAST 7 DAYS, how many times did you drink a can, bottle or glass of juice drink (For example: Fruit punch, Hawaiian Sun, Capri Sun, Sunny Delight, Grape Drink)? Do not include sugar-free or diet sodas. [One answer only]

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* 10. During the PAST 7 DAYS, how many times did you drink water? Include sparkling or carbonated water (unflavored and sugar-free) [One answer only]

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* 11. Do you like to drink water?

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* 12. Do you drink water while at school?

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* 13. Did you bring a water bottle to school today?

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* 14. If you did bring a water bottle, what's in the water bottle?

Thank you for answering this survey! We appreciate your time.

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