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 and the teachers and the school staff drink throughout the day. We would like to ask you to please answer the questions below. We expect that teachers and staff from about 15 to 20 other schools will participate in the survey. Your honest answers are important and will help us understand what people 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 job at all.
This survey is anonymous. Please do not put your name on the answer sheet. We will collect the answers from all the teachers and staff across all schools and let you know the results. If you have any questions, you may contact the Principal Investigator of this project – Dr. May Okihiro at 808-286-1042 or email: okihirom@hawaii.edu.

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* 1. How old are you?

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* 2. What is your gender?

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* 3. 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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* 4. 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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* 5. 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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* 6. 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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* 7. 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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* 8. 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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* 9. 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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* 10. Do you like to drink water?

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* 11. Do you drink water while at school?

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

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

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