The Let's Move Pittsburgh 5-2-1-0 Sites Program delivers consistent messages of nutritious food choices and active lifestyles to children, families and providers in settings where our children live, learn and grow. We do this by promoting these four key messages about healthy eating and physical activity:
  • 5 or more servings of fruits and vegetables every day.
  • 2 hours or less of recreational screen time every day.
  • 1 hour or more of physical activity every day.
  • 0 sugary drinks and more water every day.

 

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* 1. How would you best describe your facility?

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* 2. What type of educational programming would benefit your organization?

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* 3. What is the ideal day/time for organization to attend the 5210 Site educational programs?

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* 4. Please rate your agreement with the following statements: "I believe that participating in the 5210 Site programming will increased my organization's  ___________________________."

  Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree N/A
knowledge of the benefits of physical exercise
interest in wellness programming
knowledge of healthy cooking
interest participating in a healthy lifestyle
knowledge of preparing healthy foods
Appreciation for the connections between nature and people

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* 5. Please rate your agreement about this site currently with the following statements: "This site provides constituents with the ___________________________."

  Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree N/A
knowledge needed to lead an active lifestyle.
tools needed to make nutritious food choices.
tools needed to lead an active lifestyle.
supportive environment needed to make nutritious food choices.
supportive environment needed to make nutritious food choices.

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* 6. Please provide the name of your organization:

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* 7. Please provide a primary contact's name and email address:

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