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1. How often do you or your family eat at fast food restuaraunts?
 
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7
 
daily
 
 
 
 
2. How often do you order vegetables?
 
Always
 
Most of the time
 
About half the time
 
Once in a while
 
Never
 
 
 
3. How many days of the week does your family prepare and eat meals at home, from scratch?
 
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7
 
 
 
4. How many servings of vegetables do you consume daily?
 
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2
 
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5
 
6
 
7
 
 
 
5. How many glasses of water do you drink in a day?
 
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4
 
5
 
6
 
7
 
 
 
6. How many sodas and other sugary beverages in a week?
 
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10
 
 
 
7. How many sugary beverages do you drink a day?
 
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7
 
 
 
8. I exercise daily for 30-60 minutes a day?
 
Completely disagree
 
Somewhat disagree
 
Slightly disagree
 
Neutral, Slightly agree
 
Somewhat agree
 
Completely agree
 
 
 
9. Even when I'm out with friends I order fruits and vegetables?
 
Strongly disagree
 
Somewhat disagree
 
Slightly disagree
 
Neither agree nor disagree
 
Slightly agree
 
Somewhat agree
 
Strongly agree
 
 
 
10. on average how many times a week do you exercise?
 
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7
 
Thank you for your opinion, To Your Health
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