FREE TIME

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* 1. On Average, how much time do you spend a day watching T.V.?

half hour or less

half hour to an hour

hour to two hours

more than 2 hours

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* 2. Name

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* 3. Do you have a Tablet or Phone you play on?

Yes

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* 4. If you marked yes to number 2, how much time do you

less than a half hour

half hour to an hour

one hour to two hours

more than two hours

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* 5. Do you play on a xbox or other video game?

Yes

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* 6. If you marked yes to number 5, how much time do you

less than a half hour

half hour to an hour

one hour to two hours

more than two hours

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* 7. How much exercise do you get?

Play sports or run around a few times a week.

Play or run around most days of the week.

Play or run around 1 day a week.

Play or run around every once and a while.

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* 8. How much reading do you do at home?

less than half an hour a day

a half hour to and hour a day

one hour or more a day

a few times a week

I rarely read

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* 9. Do you get to bed on before 10:00?

most days of the week

3-5 days a week

2-3 days a week

1 or less days a week

I go to bed after 10:00

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* 10. Do you feel motivated to do your best in school?

Always

Usually

Sometimes

Rarely

Never