Get in the Game for Good Health.

Your Checkup!

Bzzz! It's time to get up and start your day. For most of you, that means going on auto-pilot. You do the same things each day without thinking about what you do. Take a minute to reflect on what you think and do. Use the statements below to get started. Mark the answers that best apply to you. If you mark Other, fill in the blank.

Part I

1. To quench my thirst I usually go for the following beverage.
Water        Soft Drink         Other:_________

2. When at fast food places, I usually order_________-size portions.
Regular      Kid        Super

3. After school I like to do the following:
Watch TV     Play Outside       Other:______

4. Overweight among kids in the United States is a problem.
Agree    Disagree      Don't Know

5. My favorite type of snack is ___________.
Chips    Fruit      Other:_________

6. I feel that I am at a good weight for my height and build.
Yes  No    Not Sure

7. I watch TV ________ a day.
Less than 2 hours        3-5 hours         More than 5 hours

8. Being overweight generally is caused by too many calories and not getting enough physical activity.
Agree    Disagree      Don't Know

9. I usually snack while I watch TV.
Yes        No

10. I would describe my physical activity level as ______.
Couch Potato     Ok      Great

11. I usually have ________ snacks each day.
1-3    4-6    7 or more

12. Being overweight can lead to health problems such as diabetes.
Agree    Disagree      Don't Know

Part II

Now look back at your answers to learn about your thoughts and your habits about good health. On the back of this sheet, use that information to write a brief description of yourself. What is a typical day like for you? Do you tend to eat a lot of junk food? How active are you? Do you spend a lot of time sitting around watching TV or playing video games?