12345 Fit-Tastic! Quiz
Instructions:
1. Click the answer that best describes a normal day for you. There are no wrong answers!
2. Then, pick one habit to improve upon and set a goal!

STUDENTS
If you want to share your work with your teacher, be sure to fill in your teacher's name, school name and school district on this page. If you are taking this for fun, you don't need to enter this information.

TEACHERS
If you would like to receive student answers complete the form found here: https://forms.gle/Mr4SS5bqrb3foY5Z8
Your First Name *
Your Last INITIAL ONLY (NO FULL LAST NAMES) *
Teacher's Name
School Name
School District
Physical Activity: About how many minutes do you spend a day playing or being active (breathing hard or sweating)? *
Screen Time: About how many hours do you spend in front of a screen for fun, not school work (TV, computer, video games, tablets or cell phones)? *
Milk and yogurt: How many times do you usually drink low fat milk or eat yogurt a day? *
Water: How many times a day do you drink water? *
Fruits and vegetables: How many times a day do you eat fruits or vegetables? *
Set a goal: Which of the 12345 Fit-Tastic! habits (Physical Activity, Screen Time, Milk or Yogurt, Water and Fruits and Veggies) are you going to try and practice more often? Who can help you meet your goal? *
Submit
Never submit passwords through Google Forms.
This form was created inside of KC Healthy Kids. Report Abuse