Your
Health Challenge
1.
How much “screen time” (TV, video, computer)
do you get each day?
__Less than one hour a day + 0
__One to two hours a day + 1
__Two to three hours a day + 2
__More than three hours a day + 3
2. How many servings of fruits and vegetables (excluding
fruit juice) do you consume each day?
__Five or more + 0
__Three to five + 1
__Less than three + 2
3. How much physical activity do you get each day?
__Less than 30 minutes each day + 2
__30 to 60 minutes each day + 1
__More than 60 minutes each day + 0
4. Are you active outdoors on most days of the week?
__Yes + 0
__No + 1
5. Is water your primary beverage throughout the day?
__Most occasions + 0
__Sometimes + 1
__Hardly ever + 2 |
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6.
How often do you snack on high-fat foods?
__Most of the time + 2
__Some of the time + 1
__Hardly ever + 0
7. Do you participate in community or school sports teams,
or activity lessons such as golf classes or tennis
lessons?
__Yes + 0
__No + 1
8. Food is not used to reward positive behavior in school or
your family.
__True + 0
__False + 1
9. Regular physical activities are part of your family life.
__True + 0
__False + 1
10. Does your family maintain a healthy weight?
__Yes, we maintain a healthy weight + 0
__No, some of my family is overweight + 1
__No, my mom/dad are both overweight +
2
__No, all of the family is overweight + 3
Total
Points ___________
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