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Gender
 
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Name
   
 
 
 
Age
   
 
 
 
What year are you in?
 
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Third
 
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Sixth
 
 
 
How do you travel to school?
 
car
 
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bus
 
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How long is the journey to school?
 
15 mins
 
30 mins
 
45 mins
 
1 hour
 
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How many hours do you spend studying a night?
 
half an hour
 
an hour
 
two hours
 
2.5 hours
 
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Over a typical week, how many days over a 60 minute period are you physically active for?
 
0 days
 
1 day
 
2days
 
3 days
 
4 days
 
5 days
 
6 days
 
7 days
 
 
 
Over a typical week, how many hours are you physically active for?
 
0 hours
 
1 hour
 
2 hours
 
3 hours
 
4 hours
 
5 hours
 
6 hours
 
7 hours
 
8 hours
 
Other