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Survey tool for your grades 9-12 on the nutrition education topics of eating behaviors and intentions, food choices, food safety and hygiene, and physical activity attitudes.

Listed in the SNAP-Ed Evaluation Framework Interpretive Guide.

Developer
Expanded Food and Nutrition Education Program (EFNEP).
Year
2014
Funding Source
Expanded Food and Nutrition Education Program (EFNEP).
Free Material
Yes
Evaluation Framework Indicators
SNAP-Ed Connection Comments

Please refer to the Interpretive Guide for which questions pertain to specific indicators:

  • Yesterday, how many times did you drink nonfat or 1% low-fat milk? Include low-fat chocolate or flavored milk, and low-fat milk on cereal. Responses: none, 1 time, 2 times, 3 times, 4 or more times [MT1g]
  • Yesterday, how many times did you drink sweetened drinks like soda, fruit-flavored drinks, sports drinks, energy drinks, and vitamin water? Do not include 100 percent fruit juice. Responses: none, 1 time, 2 times, 3 times [MT1h]
  • During the past 7 days, how many days were you physically active for at least 1 hour? Responses: 0 days, 1 day, 2 days, 3 days, 4 days, 5 days, 6 days, 7 days [MT3a]
  • During the past 7 days, how often were you so active that your heart beat fast and you breathed hard most of the time? Responses: 2 times last week, 3 times last week, 4 times last week, 5 or more times last week [MT3b]
  • How many hours a day do you spend watching TV or movies, playing electronic games, or using a computer for something that is not school work? Responses: never, 1 hour or less, 2 hours, 3 hours, 4 hours, 5 or more hours [MT3g,h,i]
  • How often do you wash your hands before eating? Think about preparing snacks or meals. Responses: never, once in a while, sometimes, most of the time, always [MT4a]
  • How often do you wash vegetables and fruits before eating them? Responses: never, once in a while, sometimes, most of the time, always [MT4a]
  • When you take foods out of the refrigerator, how often do you put them back within 2 hours? Responses: never, once in a while, sometimes, most of the time, always [MT4d]
  • Yesterday, how many times did you drink nonfat or 1% low-fat milk? Include low-fat chocolate or flavored milk, and low-fat milk on cereal. Responses: none; 1 time; 2 times; 3 times; 4 or more times [R4a]
  • Yesterday, how many times did you drink sweetened drinks like soda, fruit-flavored drinks, sports drinks, energy drinks, and vitamin water? Do not include 100% fruit juice. Response choices: none; 1 time; 2 times; 3 or more times [R5b]
Review date