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How many days a week do you exercise ?
 
1-2
 
2-4
 
5 or more
 
 
 
 How many days a week do you eat fast food?
 
1-2
 
2-4
 
5 or more
 
 
 
 What is better for you?
 
cheeseburger
 
pizza
 
apple
 
soda
 
 
 
When you go outside for recess, what do you play ?
 
kick ball
 
catch
 
swings
 
nothing
 
 
 
Do you like to play in Physical Education class?
 
Yes
 
No
 
Sometimes
 
 
 
What do you do when you get home from school ?
 
play video games with friends
 
play outside with friends
 
eat a snack
 
 
 
how do you know when you are tired from exercising?
 
sweating
 
heart beats fast
 
breathe fast
 
all of the above
 
 
 
choose from the following: which is a healthy snack?
 
cookies
 
chocolate bar
 
apples with peanut butter
 
chips
 
 
 
Which activity is fun to you ?
 
bike ride
 
walking
 
running in the grass
 
playing video games with friends
 
 
 
Do you like health education class at school ?
 
yes
 
no
 
sometimes
 
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