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Are you a healthy person?

How many fruit and/or vegetables do you usually eat each day?

None (0)

Between 1 and 3

Between 4 and 5

More than 5

What is your favourite fruit?

None

Apple

Pear

Orange

Strawberry

Banana

Apricot

Other (specify:_____________________)

How often do you eat breakfast?

Never

Rarely/Seldom

Sometimes

Usually

Always

What do you usually eat for breakfast?

Nothing

Cereals

Bread

Biscuits

Yoghourts

Fruit

Other (specify: ___________________________)

What do you usually drink for breakfast?

Nothing

Coffee

Tea

Orange juice

Milk

Hot chocolate

Other (specify: _________________________)

How often do you eat fast-food? (McDonalds, KFC, Kebabs...)

Never

Rarely/Seldom

Sometimes

Usually

Always

Do you have a snack (= prendre une collation) at home or at school? (at 10 a.m / 3 p.m)

Yes (specify: _________________________________________)

How often do you cook at home?

Never

Rarely/Seldom

Sometimes

Usually

Always

How often do you exercise (=do physical activity)?

Never

Rarely/Seldom (only at school)

Sometimes (1-3 days a week)

Usually (3-5 days a week)

Always (every day)

What sport(s) do you practise?

_____________________________________________________________________

Do you eat something after exercising?

Yes (specify: ______________________________________________)

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