Nutrition & Physical Activity Poll

How do you usually get to school? (Please select only the most common way you get to school)

• Car/carpool

• Walk

• Ride bicycle

• School bus

Where do you usually get breakfast on the days when you have school?

• I don’t usually eat breakfast

• Home

• School cafeteria

• Store

• Restaurant or fast food

Where do you usually get lunch on the days when you have school?

• Pack my lunch

• Cafeteria

• Do not eat lunch

In the past 7 days, how many times did you eat fast food (such as McDonald’s, Burger King, Taco Bell, Pizza Hut, Steak ‘n Shake, etc.)?

• None

• 1

• 2

• 3

• 4+

When you eat fast food, which meal would you likely choose?

• I don’t eat fast food

• Salad meal (salad with dressing and drink)

• Kid-size meal (kid burger or 4 nuggets, small fries, small drink)

• Regular meal (1 burger or 6 nuggets, medium fries, medium drink)

• Supersize meal (double or triple burger, supersize fries, large drink)

In the past 7 days, how many times did you sit down and eat a full meal with your family?

• none

• 1-2

• 3-4

• 5+

Yesterday, how many times did you eat fried meat with a crust like fried chicken, chicken nuggets, fried pork chops or fried fish?

• none

• 1 time

• 2 times

• 3 times

• 4+ times

Yesterday, how many times did you eat hamburger meat, hot dogs, sausage, steak, bacon or ribs?

• none

• 1 time

• 2 times

• 3 times

• 4+ times

Yesterday, how many times did you eat peanuts or peanut butter?

• none

• 1 time

• 2 times

• 3 times

• 4+ times

Yesterday, how many times did you eat french fries or chips? Include potato chips, tortilla chips, Cheetos, corn chips, or other snack chips.

• none

• 1 time

• 2 times

• 3 times

• 4+ times