Student Health & Wellness
Name: 


A red asterisk (*) indicates required questions.

  1. Which high school do you attend?*
    Lenape
    Shawnee
    Cherokee
    Seneca
    Sequoia


  1. What grade are you currently in?*
    9th
    10th
    11th
    12th


  1. Do you currently take part in any intramural activities after school?*
    Yes
    No


  1. If you answered 'yes' to #3, which activities do you like to take part in? (Check all that apply)
    basketball
    soccer
    ultimate frisbee
    flag football
    volleyball
    horseshoes
    badminton
    pickleball
    bocceball
    karate
    OTHER


  1. If you selected OTHER for #4, what is the activity that you like to take part in?


  1. Which activities would you be interested in, if they were offered? (Check all that apply)
    Yoga
    Dance
    Pilates
    Kickboxing
    Tae-bo
    Weight training
    Walking/running club


  1. Which activities, not listed above, would you stay after school for if they were offered?


  1. If there was a fitness club after school, would you join?*
    Yes
    No


  1. If you said 'yes' to #8, how often should it meet?
    3 times a week
    2 times a week
    1 time a week
    1 time every other week


  1. Would you be interested in traveling off-campus for an after school activity knowing that it would involve a small fee?*
    Yes
    No


  1. If you said 'yes' to #10, what should that activity be? (Check all of those that apply)
    Golf
    Bowling
    Batting cages
    Ice skating
    Roller skating
    Canoeing
    Hiking
    OTHER


  1. If you checked OTHER to #11, what activity would you like to see offered?


  1. Would you like to be a part of competitive intramurals?*
    Yes
    No


  1. Would you be interested in participating with other schools in the district? If so, how often?
    Never
    1 time per marking period
    1 time per month
    1 time every 2 weeks
    1 time per week


  1. If we did participate with other schools for intramurals, should this be competitive?
    Yes
    No


  1. If the school offered nutrition and health advice after school, would you take advantage of it?*
    Yes
    No


  1. If there was a lecture after school on creating and maintaining a healthy diet, would you attend?*
    Yes
    No


  1. If you answered 'yes' to #17, is there a particular topic that you would like to see discussed?


  1. Is there an intramural activity, fitness activity or nutrional topic that you would like to see offered to the student body that is not expressed in this survey?*
    Yes
    No


  1. If you answered yes to #19, what activity or topic would you like to see offered?


  1. Would you be interested in participating in a physical activity instead of going to study hall if it was an option?*
    Yes
    No


  1. If you could add new activities in our physical education class what would they be?


  1. Are you currently involved in an after school sport?*
    Yes
    No


  1. If you answered 'yes' to #22, which season?
    Fall
    Winter
    Spring


  1. Are you involved in sports that are not associated with the school?*
    Yes
    No


  1. If you answered 'yes' to #24, which sports?


  1. Which season(s) are you most interested in participaing in intramural activities?
    Fall (September - November)
    Winter (December - March)
    Spring (April - June)





Mr. Kibler
Seneca
NJ