Behavioral Outcome

Are you, your child(ren) or any other family member overweight or obese?

Yes

No

Not sure

Are you responsible for your family's food choices?

Yes

No, they decide what to eat

We plan our meals and grocery list together

Is making a shopping list before you go grocery shopping helpful?

Most of the time

Sometimes

Not often

Don't make list

Does reading the Nutritional label help you in your food choices?

Most of the time

Sometimes

Rarely

Don't read food labels

How often do you feed your family fresh fruit and vegetables?

Daily

1 to 2 times a week

Generally serve canned fruits and vegetables

Are you familiar with ChooseMyPlate.gov?

Yes

No

How often does your family eat fast food?

Weekly

Monthly

Daily

Rarely

How often do you and your family participate in outside activities like walking, biking, or going to the park?

Weekly

3 or more times a month

Often

Rarely

Are your children physically active for at least 2 hours each day?

Most of the time

Sometimes

Rarely

Do you feed your family a variety of vegetables in a variety of colors?

Most of the time

Sometimes

Rarely

Only feed them the vegetables they like