PEP

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* 1. During the past 7 days, how many times did you eat fruit? (Do not count fruit juice.)

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* 2. During the past 7 days, how many times did you eat green salad?

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* 3. During the past 7 days, how many times did you eat potatoes? (Do not count french fries, fried potatoes, or potato chips.)

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* 4. During the past 7 days, how many times did you eat carrots?

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* 5. During the past 7 days, how many times did you eat other vegetables? (Do not count green salad, potatoes, or carrots.)

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* 6. How many fruits and vegetables should you eat each day according to government and nutrition expert recommendations?

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* 7. When looking at your plate for each meal, how much of your plate should be fruits and/or vegetables according to government and nutrition expert recommendations?

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* 8. Do you play community sports such as PYA sports, Pembroke Soccer Club (PSC) or AYSO soccer, YMCA sports, sports through a church program, or others?

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* 9. Do you participate in any physically active classes or structured physical activities outside of the school day like swimming, dance, gymnastics, karate/tae kwon do/other martial arts, fencing, motocross, or any other structured physical activities held outside of school? (Do not count sports teams or sports clubs you reported on in the last question.)

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* 10. In the last 12 months, how often have you utilized community resources for physical activity?
Examples of community resources include but are not limited to: parks; walking or biking trails; playgrounds; tracks; school or community fitness centers; YMCA; afterschool physical activity programs; school or community pools; local rivers or lakes; community-based sports clubs or teams such as PYA sports, Pembroke Soccer Club or AYSO soccer, skiing, or basketball clubs or teams; and local fun runs, charity walks, runs, or bike rides; 5 or 10Ks.

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* 11. How many minutes of physical activity/exercise should you have on all or most days of the week according to government and health expert recommendations?

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* 12. What gender are you?

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* 13. What grade are you in?

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* 14. Which school do you go to?

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