Student Health Habits Survey
Please answer the following questions about your general health-related habits. This survey does not collect sensitive or medical information.
What is your age group?
*
Please Select
Under 13
13-15
16-18
19-22
Over 22
How many days per week do you engage in physical activity (30+ minutes)?
*
0 days
1-2 days
3-4 days
5-6 days
7 days
On average, how many hours of sleep do you get per night?
*
Less than 5 hours
5-6 hours
7-8 hours
More than 8 hours
How would you rate your overall eating habits?
*
1
2
3
4
5
How many cups of water do you drink on a typical day?
*
0-2 cups
3-4 cups
5-6 cups
7-8 cups
More than 8 cups
How often do you eat breakfast?
*
Never
Rarely
Sometimes
Often
Every day
How many hours per day do you spend on screens (phone, computer, TV, etc.) outside of schoolwork?
*
Less than 1 hour
1-2 hours
3-4 hours
5-6 hours
More than 6 hours
How would you rate your usual stress level?
*
1
2
3
4
5
How often do you engage in the following habits?
*
Rows
Never
Rarely
Sometimes
Often
Always
Eat fruits and vegetables
1
2
3
4
5
Get at least 7 hours of sleep
6
7
8
9
10
Exercise for 30+ minutes
11
12
13
14
15
Drink sugary beverages
16
17
18
19
20
Eat fast food
21
22
23
24
25
Take breaks from screens
26
27
28
29
30
Is there anything else you’d like to share about your health habits?
Submit Survey
Should be Empty: