Healthy habits questionnaire for students 2026

1. Click ‘Get Form’ to open the Healthy Habits Questionnaire in our editor.
2. Begin by entering the Patient Name, Age, and Today’s Date in the designated fields at the top of the form.
3. For each question regarding your child's eating habits, provide your answers in the blank spaces provided. For example, indicate how many servings of fruits or vegetables your child consumes daily.
4. Answer questions about family meals and screen time by filling in the appropriate frequency per week or day as requested.
5. For questions with Yes/No options, simply select your answer by clicking on the corresponding box.
6. In the section regarding beverages, fill in the number of servings for each type of drink listed.
7. Finally, reflect on your responses and check one box indicating a change you would like to help your child make.
8. Once completed, save your document and share it with your clinician as instructed at the end of the form.

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