Compendium of Surveys (to assess fruit and vegetable consumption)

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UCCE Food Behavior ChecklistFull survey available from http://townsendlab.ucdavis.edu/UCCE Food Behavior Checklist 10
Fruit and Vegetable ChecklistFull survey available from http://townsendlab.ucdavis.edu/Fruit and Vegetable Checklist 11
Page 3 and 4: COMPENDIUM OF SURVEYS..............
Page 5 and 6: FRUIT AND VEGETABLE TOOLS
Page 7 and 8: BRFSS items and most of these crite
Page 9: Food Behavior Checklist - Food Stam
Page 13 and 14: NCI All Day Screener 13
Page 15 and 16: NCI By Meal Screener (Thompson, et
Page 17 and 18: 4a. Each time you ate these potatoe
Page 19 and 20: LUNCHTIME AND AFTERNOON8. Think abo
Page 21 and 22: 11. Think about all the foods you a
Page 23 and 24: Fruit and Vegetable Module (BRFSS)T
Page 25 and 26: The three consumption questions fro
Page 27 and 28: The Day in the Life Questionnaire (
Page 29 and 30: DILQ for 7-9 years 29
Page 31 and 32: Day in the Life Questionnaire (9-11
Page 33 and 34: What did you do this morning?1. Did
Page 35 and 36: What did you do yesterday?6. Did yo
Page 37 and 38: 12. Did you have anything to eat or
Page 39 and 40: 19. Did you have anything to eat or
Page 41 and 42: California Healthy Kids Survey (CHK
Page 43 and 44: Youth Risk Behavior Survey (YRBS)Fr
Page 45 and 46: Food Recognition Form (Cullen, et a
Page 47 and 48: OtherButter Margarine Jam or Je
Page 49 and 50: 4. Apples?Includeapplesauce.5. 100%
Page 51 and 52: 7. Other100%juice?Include100% grape
Page 53 and 54: 10.Grapes?“What is (yourchild’s
Page 55 and 56: 13.Strawberries?14.Pineapple?“Wha
Page 57 and 58: 18. Baked,mashed orboiledpotatoes?N
Page 59 and 60: Food Frequency Questionnaire 59
Page 61 and 62:
25. GreenPeas?26.Broccoli?“What i
Page 63 and 64:
29. Beans?like bakedor refriedbeans
Page 65 and 66:
Availability Survey - Fruit, Juice
Page 67 and 68:
School and Idea Resource KitTarget
Page 69 and 70:
ReferencesBaranowski T, Davis M, Re
Page 71 and 72:
We want to know what you think will
Page 73 and 74:
We want to know what you think abou
Page 75 and 76:
We want to know what you think abou
Page 77 and 78:
fruits or vegetables that were prev
Page 79 and 80:
Student identification number______
Page 81 and 82:
7. For breakfast, I think I can…I
Page 83 and 84:
Network Youth Survey and Network Hi
Page 85 and 86:
Additional informationNetwork Youth
Page 87 and 88:
Write your Identification Number he
Page 89 and 90:
5. Yesterday, did you eat any hot o
Page 91 and 92:
O Yes, I drank regular (not diet) s
Page 93 and 94:
Thank youNetwork Youth Survey 93
Page 95 and 96:
Instrucciones: Esta es una encuesta
Page 97 and 98:
8. ¿Comiste fruta ayer? Incluye fr
Page 99 and 100:
O ViernesO SábadoO Domingo15. ¿De
Page 101 and 102:
Page 103 and 104:
5. Yesterday, did you eat any hot o
Page 105 and 106:
O4 or more times per day12. During
Page 107 and 108:
18. Yesterday, did you eat breakfas
Page 109 and 110:
Questions 32-33 These questions mea
Page 111 and 112:
Page 113 and 114:
The questions in this next section
Page 115 and 116:
The questions in this next section
Page 117 and 118:
Now we want to know how active you
Page 119 and 120:
In this section, we want you to tel
Page 121 and 122:
Food Preferences SurveyTarget behav
Page 123 and 124:
How much do you like these fruits a
Page 125 and 126:
Food Security SurveysTarget behavio
Page 127 and 128:
Food-Security/Hunger Core Module3-S
Page 129 and 130:
[IF CHILDREN UNDER 18 IN HOUSEHOLD,
Page 131 and 132:
12. In the last 12 months, did (you
Page 133 and 134:
California Women’s Health Survey
Page 135 and 136:
10. In the past 12 months, were you
Page 137 and 138:
Short Form of the 12-month Food Sec
Page 139 and 140:
ReferencesRussell, S. 2004. Validit
Page 141 and 142:
Hawthorne Unified School District (
Page 143 and 144:
Full survey available from http://t
Page 145 and 146:
Social Norms (Baranowski, et al.)Wh
Page 147 and 148:
Outcome Expectations for Eating FVs
Page 149 and 150:
Self-Efficacy Surveys for ChildrenT
Page 151 and 152:
Exámen de Eficacia Propia-Comiendo
Page 153 and 154:
Self-Efficacy Survey - Eating FVs (
Page 155 and 156:
PHYSICAL ACTIVITY TOOLSPhysical Act
Page 157 and 158:
PAR: Men ages 18 to 69; college stu
Page 159 and 160:
7-Day Physical Activity Recall (Sal
Page 161 and 162:
Physical Activity Surveys for Child
Page 163 and 164:
4. On an average school day, how ma
Page 165 and 166:
Physical Activity Preferences Surve
Page 167 and 168:
Self-Efficacy for Physical Activity
Page 169 and 170:
Social Support From Family & Friend
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Compendium of Surveys (to assess fruit and vegetable consumption)

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