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Surveys
2014
November
H
Healthy Kids Live Here Program Survey
Healthy Kids Live Here Program Survey
0%
Exit Survey
I am a...
Program participant
Parent/guardian of program participant
Other
I have participated in this program for...
1 year
2 years
3 years
4 or more years
My age range is...
younger than 5 years old
5-7 years old
8-10 years old
11-13 years old
14-16 years old
17 years or older
I am a...
Male
Female
I chose to participate in this program because...
PHYSICAL ACTIVITY
Please rate the following on a scale from 1 to 5
1=strongly disagree
2=disagree
3=indifferent/unsure
4=agree
5=strongly agree
I enjoyed the sports taught and played in this program.
I enjoyed the fitness activities taught in this program.
I learned useful skills from the sports/fitness aspect of this program.
I feel that I am more fit now than I was before I joined this program.
I feel that I make healthier choices now than before I joined the program.
I enjoy being physically active as a result of this program.
I feel that I learned useful life skills in this program.
In the future, I would like to see the following sports/fitness activities integrated in the program:
Comments/suggestions to improve the physical activity aspect of the program:
NUTRITION
Please rate the following on a scale from 1 to 5
1=strongly disagree
2=disagree
3=indifferent/unsure
4=agree
5=strongly agree
I enjoyed the nutrition lessons taught in this program.
I learned skills that will improve my ability to create healthy meals.
I have a greater desire to eat healthier foods as a result of this program.
I have influenced family or friends to make healthier choices because of what I have learned.
I have utilized the skills I learned regarding cooking recipes.
I have utilized the skills I learned regarding grocery shopping.
I have utilized the skills I learned regarding budgets.
I have utilized the skills I learned regarding nutrition labels.
PERSONNEL
Please rate the following on a scale from 1 to 5
1=strongly disagree
2=disagree
3=indifferent/unsure
4=agree
5=strongly agree
I have built positive peer relationships in this program.
I have built positive adult-youth relationships in this program.
I feel safe when I am in this program.
I feel as though the program staff cares about me.
I feel like my voice is heard.
I made new friends in the program.
I would recommend this program to a friend or family member.
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