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* 1. Name:

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* 2. What has your attendance been like this term?

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* 3. Do you eat breakfast at home?

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* 4. If there was a school breakfast café (opening at 8am), would you attend?

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* 5. If there was a school breakfast café (opening at 8am) where you could get help with your Maths or English, would you attend?

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* 6. What else would encourage you to attend a breakfast club? (tick all that apply)

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