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Self Efficacy Survey - Eating Fruits and Vegetables (Page 1 of 1)Farm to Conclusions School Sample and Tools Recommendationsand ResourcesSelf-Efficacy Survey - Eating FVs (Baranowski et al.)How sure are you that you can:Please check your answer1. For breakfast, I think I can…A. drink a glass of my favorite juiceB. add fruit to my cereal2. For lunch at school, I think I can…I disagreeverymuchI disagreea littleI am notsureI agree alittleI agreevery much1 2 3 4 5 1 2 3 4 5 I disagreeverymuchI disagreea littleI am notsureI agree alittleI agreevery muchA. eat a vegetable that’s served 1 2 3 4 5 B. eat a fruit that’s served 1 2 3 4 5 I disagree I disagree I am not I agree a3. For lunch at home I think I can…verymucha little sure littleI agreevery muchA. Eat carrot or celery sticks instead of chips 1 2 3 4 5 B. Eat my favorite fruit instead of my usualdessert1 2 3 4 5 4. For a snack I think I can choose…I disagree I disagreevery much a littleI am notsureI agree alittleI agreevery muchA. my favorite fruit instead of my favoritecookie1 2 3 4 5 B. my favorite fruit instead of my favoritecandy bar1 2 3 4 5 C. my favorite raw vegetable with dip insteadof my favorite cookie1 2 3 4 5 D. my favorite raw vegetable with dip insteadof my favorite candy bar1 2 3 4 5 E. my favorite raw vegetable with dip insteadof chips1 2 3 4 5 5. For dinner I think I can….I disagree I disagree I am not I agree avery much a little sure littleA. eat a big serving of vegetables 1 2 3 4 5 B. eat my favorite fruit instead of my usualdessert1 2 3 4 5 I agreevery much6. I think I can…I disagree I disagree I am not I agree avery much a little sure littleA. eat at least 2 cups of fruit and juice each day 1 2 3 4 5 B. eat at least 2½ cups of vegetables each day 1 2 3 4 5 C. eat at least 4½ cups of fruits and vegetableseach dayI agreevery much1 2 3 4 5 Adapted from Self-Efficacy Survey: Eating, Fruits and Vegetables available athttp://socialmarketing-nutrition.ucdavis.edu/Tools/Downloads/self_effic_fruitveg.pdfBaranowski T, Davis M, Resnicow K, Baranowski J, Doyle C, Smith M, Lin L, Wang DT. Gimme 5 fruit andvegetables for fun and health: Outcome Evaluation. Health Education & Behavior 2000; 27(1):96-111.152 Bearing Fruit: Farm to School Evaluation Resources and Recommendations