Pre/Post Wellness Assessment for "Eagles on the Move" Grant

Students will complete a pre and post wellness assessment to be used to evaluate the effectiveness of the "Eagles on the Move"Grant.
Name (optional): 


  1. How many days per week, on average, do yo engage in active phiscal activity? This refers to activities such as bike riding, walking , basketball, dance, etc.
    Everyday
    Almost Everyday
    Some days
    A few days
    Not at all


  1. Referring to you answer in question #1, on average, how long do you engage in all physical activities each day?
    More than one hour
    One hour
    45 minutes
    30 minutes
    15 minutes
    None


  1. Use the following link to determine your Body Mass Index (BMI and then enter your two digit number here__________
    Http://www.caloriecontrol.org/bmi.html


  1. Refer to the scale you used to determine your BMI. Which do you consider your mother (or female guardian) to be?
    Good weight
    A little overweight
    Overwieght
    Very overweight
    Obese
    I don't know


  1. Refer to the scale you used to determine your BMI. Which do you consider your father (or male guardian) to be?
    Good weight
    A little overweight
    Overweight
    Very overweight
    Obese
    I don't know


  1. How many times during one week do you eat fast foods?


  1. Do you eat 2 1/2 cups of vegetables and 2 cups of fruit daily?


  1. Do you drink 2 cups of milk daily?


  1. Do you drink at least 8 to 10 glasses of water daily?


  1. How would you rate your overall health?
      1 2 3 4 5  
    Excellent   Poor





Mrs. Kerns
Technology and FACS Instructor
LMS
Shinnston, WV