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Home
About
About Omega
Board of Directors
President
Mandates
Find a Chapter
History of Omega
Notable Omegas
Past Grand Basilei
Annual Report
Contact
Vendors
Resources
Emergency Relief Team
Vote.org
Joint Center for Political and Economic Studies
Mental Health Emergency & Crisis Resources
Join Omega
Get Financial
Partner Links
Find a Chapter
Programs
Leadership Conference
84th Grand Conclave
Mandated Programs
Achievement Week
Fatherhood & Mentoring
Scholarship
Stem
Talent Hunt
High School Essay Contest
Brother You’re on my Mind
Project 1911
Prayer Call
Media
News and Events
Photo Gallery
The Oracle
Policies
Anti Hazing
Vendors
Legal
Trademark and Logo
Brothers
Login
MSP
Suspended Members
Expelled Persons
Career Opportunities
Paid Service Award Eligible Members
Emergency Relief Team
Jobs
Approved Events
Well Prepared Program - Pre/Post Evaluation Questionnaire - Kids
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Well Prepared Program - Pre/Post Evaluation Questionnaire - Kids
Chapter
Select the chapter that requested you to complete this questionnaire.
-Select Chapter-
Omega Mu Mu
Iota Upsilon
Epsilon Kappa Kappa
Eta Pi
Omicron Chi
Rho Phi
Lambda Kappa Kappa
Gamma Pi
Mu Nu
Pi Omega
Before answering the following questions tell us how old you are
*
Are you a boy, girl, or you don’t want to answer?
*
A. Boy
B. Girl
C. Don't not to answer
1. I have learned about how the 5210 program can help me remember some ways to make healthy choices and stay active from my parents, at school or at an after school activity
*
A. Yes
B. No
If yes how did you learn about the program?
The next questions, will ask about what the numbers in the 5210 program name represent or stand for:
2. The 5 in the 5210 program name represents
*
A. The recommended amount of fruits and vegetables kids should eat
B. Hours of recommended screen time for kids
C. Recommended hours of physical activity for kids
D. Recommended amount of drinks with sugar that kids should have
3. The 2 in the 5210-program name represents
*
A. The recommended amount of fruits and vegetables kids should eat
B. Hours of recommended screen time for kids
C. Recommended hours of physical activity for kids
D. Recommended amount of drinks with sugar that kids should have
4. The 1 in the 5210-program name represents
*
A. The recommended amount of fruits and vegetables kids should eat
B. Hours of recommended screen time for kids
C. Recommended hours of physical activity for kids
D. Recommended amount of drinks with sugar that kids should have
5. The 0 in the 5210-program name represents
*
A. The recommended amount of fruits and vegetables kids should eat
B. Hours of recommended screen time for kids
C. Recommended hours of physical activity for kids
D. Recommended amount of drinks with sugar that kids should have
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