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I understand the importance of a healthy diet
 
Strongly disagree
 
Somewhat disagree
 
Disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Agree
 
Strongly agree
 
 
 
I understand the benefits of eating fruits and vegetables
 
Strongly disagree
 
Somewhat disagree
 
Disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Agree
 
Strongly agree
 
 
 
Health eating reduces my risk of illness and chronic disease.
 
Strongly disagree
 
Somewhat disagree
 
Disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Agree
 
Strongly agree
 
 
 
I know how to prepare healthy meals and snacks
 
Strongly disagree
 
Somewhat disagree
 
Disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Agree
 
Strongly agree
 
 
 
Name 5 fruits
   
 
 
 
Name 5 vegetables
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
I know how to achieve my goal of being healthier
 
Strongly disagree
 
Somewhat disagree
 
Disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Agree
 
Strongly agree
 
 
 
I have a strong support system to help me reach my health goals.
 
Strongly disagree
 
Somewhat disagree
 
Disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Agree
 
Strongly agree
 
 
 
I know physical activity prevents obesity
 
Strongly disagree
 
Somewhat disagree
 
Disagree
 
Neither agree or disagree
 
Somewhat agree
 
Agree
 
Strongly agree
 
 
 
I feel confident that I will achieve my goals
 
Strongly disagree
 
Somewhat disagree
 
Disagree
 
Neither Disagree or agree
 
Somewhat agree
 
Agree
 
Strongly agree
 
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