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Which class block do you have (Select all that apply)?
 
9-12
 
12-3
 
3-6
 
6-9

 
 
 
How many days out of the week do you have the block classes?
 
0
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
 
 
During class days, how many times you you eat?
 
0
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
 
 
During class days, do you feel you are eating on time?
 
Never
 
Sometimes
 
Most of the time
 
Always
 
 
 
Please rate how you agree with the following statement. If you miss a meal does that affect your attention during that class?
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
 
 
Do you bring food from home on school days?
 
 
 
If yes, how many often do you do so?
 
Never
 
Sometimes
 
Most of the Time
 
Always
 
 
 
Do you eat during class?
 
 
 
Do you feel that there are enough dining options on campus?
 
Yes
 
No
 
 
 
During school days, how often do you eat out?
 
Never
 
Sometimes
 
Most of the Time
 
Always
 
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