Compendium of Surveys (to assess fruit and vegetable consumption)

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COMPENDIUM OF SURVEYS.................................................................................................................. 1FRUIT AND VEGETABLE TOOLS .......................................................................................................... 5Measures of Consumption for Adults .................................................................................................. 5Measures of Consumption for Adults .................................................................................................. 6Food Behavior Checklist - Food Stamp Program............................................................................... 8Food Behavior Checklist - Food Stamp Program (Spanish) ............................................................ 9UCCE Food Behavior Checklist.......................................................................................................... 10Fruit and Vegetable Checklist ............................................................................................................. 11NCI All-Day Screener ........................................................................................................................... 12NCI By Meal Screener (Thompson, et al.)......................................................................................... 15Fruit and Vegetable Module (BRFSS) ............................................................................................... 23Measures of Consumption for Children ............................................................................................ 24The Day in the Life Questionnaire (7-9 years).................................................................................. 27Day in the Life Questionnaire (9-11 years) ....................................................................................... 31California Healthy Kids Survey (CHKS)............................................................................................. 41School Physical Activity and Nutrition Project (SPAN).................................................................... 42Youth Risk Behavior Survey (YRBS) ................................................................................................. 43Food Recognition Form (Cullen, et al.).............................................................................................. 45Food Frequency Questionnaire .......................................................................................................... 48Availability Surveys ................................................................................................................................ 64Availability Survey – Fruit, Juice & Vegetables at School (Network) ............................................ 65Availability Survey – Fruit, Juice & Vegetables At Home (Hearn, et al.) ...................................... 66Availability Survey (Hearn) .................................................................................................................. 66School and Idea Resource Kit.............................................................................................................. 67Harvest of the Month Survey................................................................................................................ 76Network Youth Survey and Network High School Surveys.......................................................... 83Network Youth Survey ........................................................................................................................... 87Encuesta para Jóvenes.......................................................................................................................... 94Network High School Survey.............................................................................................................. 101Nutrition Education Survey................................................................................................................. 108Food Preferences Survey.................................................................................................................... 121
Page 4 and 5: Food Security Surveys..............
Page 6 and 7: Measures of Consumption for AdultsT
Page 8 and 9: Food Behavior Checklist - Food Stam
Page 10 and 11: UCCE Food Behavior ChecklistFull su
Page 12 and 13: NCI All-Day ScreenerNCI All Day Scr
Page 14 and 15: NCI All Day Screener 14
Page 16 and 17: 2. Over the last month, how often d
Page 18 and 19: 1 2 3 4 Less than 1 medium fruit
Page 20 and 21: 9a.When you ate vegetables at lunch
Page 22 and 23: 12a. Each time you ate tomato sauce
Page 24 and 25: Measures of Consumption for Childre
Page 26 and 27: Presentation: American Dietetic Ass
Page 28 and 29: DILQ for 7-9 years 28
Page 30 and 31: DILQ for 7-9 years 30
Page 32 and 33: This is a form about what you did t
Page 34 and 35: 4. Did you have anything to eat ord
Page 36 and 37: 9. Did you have anything to eat ord
Page 38 and 39: 15. What did you do after school ye
Page 40 and 41: 22. Did you have anything else to e
Page 42 and 43: School Physical Activity and Nutrit
Page 44 and 45: 5.6.YRBS 44
Page 46 and 47: FruitsChipsApples, applesauce Ban
Page 48 and 49: Development of the SLU 4 Kids FFQ w
Page 50 and 51: 6. 100%Orangejuice? NotSunnyDelight
Page 52 and 53:
9.Bananas? Favorite Likes it Does
Page 54 and 55:
12. Favorite Cantaloupe Likes it ?
Page 56 and 57:
15. FruitCocktail?16.Peaches?17. Ot
Page 58 and 59:
19. Friedpotatoes?IncludeFrenchfrie
Page 60 and 61:
22.Tomatoes?Includethose onsandwich
Page 62 and 63:
27.Carrots?28. Mixedvegetables? Inc
Page 64 and 65:
Availability SurveysTarget behavior
Page 66 and 67:
Availability Survey - Fruit, Juice
Page 68 and 69:
(agree very much). Fruit and vegeta
Page 70 and 71:
PRE/POST IMPACT SURVEYWe want to kn
Page 72 and 73:
FRUITS AND VEGETABLES (I THINK)18.
Page 74 and 75:
Please circle either “No” or
Page 76 and 77:
Harvest of the Month SurveyTarget b
Page 78 and 79:
Harvest of the Month SurveyPrepared
Page 80 and 81:
6. How much do you like these fruit
Page 82 and 83:
11. For dinner I think I can….I d
Page 84 and 85:
12. Yesterday, did you eat sweet ro
Page 86 and 87:
References1. Thiagarajah K, Fly AD,
Page 88 and 89:
Directions: This is a survey to fin
Page 90 and 91:
8. Yesterday, did you eat fruit? In
Page 92 and 93:
O ThursdayO FridayO SaturdayO Sunda
Page 94 and 95:
Escribe tu número de identificaci
Page 96 and 97:
5. ¿Comiste cereal caliente o frí
Page 98 and 99:
O Sí, ayer tomé refresco (soda) r
Page 100 and 101:
GraciasNetwork Youth Survey 100
Page 102 and 103:
Directions: This is a survey to fin
Page 104 and 105:
8. During the past 7 days, how many
Page 106 and 107:
yesterday.16. Below, check the days
Page 108 and 109:
Nutrition Education SurveyThis Nutr
Page 110 and 111:
ReferencesBaranowski T, Davis M, Re
Page 112 and 113:
The questions in this section ask w
Page 114 and 115:
The questions in this section are a
Page 116 and 117:
The next set of questions is about
Page 118 and 119:
Now we want to know how much you li
Page 120 and 121:
The last few questions are about yo
Page 122 and 123:
ReferencesCullen K, Baranowski T, e
Page 124 and 125:
Grade/Grado: 4 th 2Teacher/Maestro/
Page 126 and 127:
(3) 30-Day Reference Period: The qu
Page 128 and 129:
1b. [IF OPTION 2 SELECTED, ASK] Her
Page 130 and 131:
8. In the last 12 months, since las
Page 132 and 133:
16. In the last 12 months, did (you
Page 134 and 135:
5. In the last 12 months, did you e
Page 136 and 137:
In the last 12 months, have you or
Page 138 and 139:
Knowledge, Awareness & Beliefs Surv
Page 140 and 141:
General Knowledge (Reynolds, Hoelsc
Page 142 and 143:
Fruit and Vegetable InventoryTarget
Page 144 and 145:
Norms Surveys for ChildrenTarget be
Page 146 and 147:
Outcome Expectations Surveys for Ch
Page 148 and 149:
Outcome Expectations for Eating FVs
Page 150 and 151:
Self-Efficacy Survey - Eating, Aski
Page 152 and 153:
How sure are you that you can:Que t
Page 154 and 155:
Self-Efficacy Survey - Asking and S
Page 156 and 157:
Physical Activity Surveys for Adult
Page 158 and 159:
Physical Activity Survey (BRFSS)Ple
Page 160 and 161:
Seven Day Physical Activity Recall
Page 162 and 163:
Physical Activity Survey (YRBS)Plea
Page 164 and 165:
Physical Activity Preferences for C
Page 166 and 167:
Self Efficacy for Physical Activity
Page 168 and 169:
Social Support for Physical Activit
Page 170:
Demographic InformationRace and eth
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Compendium of Surveys (to assess fruit and vegetable consumption)

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