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I am getting 60 minutes of exercise on most days of the week.
 
Yes
 
No
 
 
 
I've added ________ fruits and vegetables to my plate on most days of the week.
 
2
 
3
 
4
 
5+
 
 
 
My BMI has decreased
 
0 points
 
1 point
 
2 points
 
3 points
 
4 points
 
5+ points
 
 
 
I plan most of my meals.
 
Yes
 
No
 
 
 
My family and I eat outside the home fewer times per week.
 
Yes
 
No
 
 
 
My school has added healthier food options.
 
Completely disagree
 
Somewhat disagree
 
Neutral
 
Somewhat agree
 
Completely agree
 
 
 
I drink fewer sugary beverages on a daily basis.
 
Yes
 
No
 
 
 
I have more energy on most days of the week.
 
Completely disagree
 
Somewhat disagree
 
Slightly disagree
 
Neutral, Slightly agree
 
Somewhat agree
 
Completely agree
 
 
 
Family members and friends have noticed the change in me.
 
A very great deal
 
A great deal
 
Quite a bit
 
Moderately
 
Somewhat
 
A little bit
 
A tiny bit
 
About the same
 
 
 
I have visited the doctor since I started this nutrition program.
 
Yes
 
No
 
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