This free survey is powered by
0%
Exit Survey
 
 
Most days, how many servings of fruit do you eat?
 
1-2
 
3 or more
 
none
 
 
Most days, how many servings of vegetables do you eat?
 
1-2
 
3 or more
 
none
 
 
How often do grownups and children sit together at the table to eat?
 
some days
 
most days
 
never
 
 
How often do grownups and children sit together at the table to eat?
 
some days
 
most days
 
never
 
 
How many times a week do you eat fast-food?
 
1-2 times
 
3-5 times
 
most meals
 
never
 
 
How many days a week do you eat breakfast?
 
1-2 days
 
3-4 days
 
5 or more days
 
never
 
 
Most days, what kinds of lunches do you eat?
 
school lunch
 
packed lunch
 
skip lunch
 
 
How many hours a day would you say you do some the following activities: watching tv, playing video games, sitting at computer
 
1-2
 
3-4
 
5 or more
 
none
 
 
Most days, how many hours of active exercise do you get?
 
1
 
2
 
3 or more
 
none
 
 
Most nights, how many hours of sleep do you get?
 
less than 4
 
5-7
 
8 or more
Share This Survey:          Survey Software Powered by QuestionPro Survey Software