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Dear Student,

Please take a few minutes to answer this short survey. If you need help reading any questions, please raise your hand. Your teacher or helper will read the question to you. Remember to answer all of the questions the best you can. Thanks!

Linda Scheuermann
Nutrition Educator
 
 
 
1. Do you eat fruits and vegetables at home?
 
Yes
 
No
 
 
 
2. Do your parents and other family members eat fruits and vegetables?
 
Yes
 
No
 
unsure
 
 
 
3. Do you help prepare meals or snacks at home?
 
Yes
 
No
 
 
 
4. Do your friends like to eat fruits and vegetables?
 
Yes
 
No
 
unsure
 
 
 
5. Eating fruits and vegetables will make me be a better student.
 
true
 
false
 
not sure
 
 
 
6. Do you like to eat vegetables?
 
Yes, I like most vegetables.
 
I only like a few vegetables.
 
No, I do not like the taste of vegetables.
 
No, I do not like how vegetables look or feel in my mouth.
 
 
 
7. Do you like to eat fruits?
 
Yes, I like most fruits.
 
Yes, I like some fruits.
 
No, I do not like the taste of fruits.
 
No, I do not like the way fruits look or feel in my mouth.
 
 
 
8. Eating fruits and vegetables will make me healthy.
 
true
 
false
 
not sure
 
 
 
9. There are fruits and vegetables for me to eat at home.
 
true
 
false
 
not sure
 
 
 
10. Do you help your family do the grocery shopping (going to the commissary)?
 
Always
 
Sometimes
 
Never
 
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