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* 1. What is your full name?

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* 2. I am physically active in school (regular moderate to vigorous activity for example, dancing, netball, football).

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* 3. I am physically active out of school (regular moderate to vigorous activity for example, dancing, swimming, football).

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* 4. What clubs do you attend in school? (if none leave blank)

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* 5. What clubs/activities/interests  do you take part in outside of school? (if none leave blank)

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* 6. I am trustworthy

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* 7. I am friendly to others

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* 8. I look out for others

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* 9. I listen to others

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* 10. I respect others

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* 11. I respect other opinions even if they are different from my own.

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* 12. I am confident when speaking in front of others

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* 13. I understand what health and wellbeing is

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* 14. I get on well with others in school

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* 15. I get on well with others outside of school

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* 16. I feel close to my family

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* 17. I know what to do when I get lonely/sad/down/low

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* 18. I know where to get support in challenging situations.

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* 19. I can deal with my problems/difficulties well

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* 20. I include others even when I do not know them

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* 21. Eating healthy is important to me

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* 22. I know how to make healthy choices with food.

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* 23. The canteen provides me what I need to eat healthy

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* 24. I know what I need to do to maintain good health.

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* 25. What would you like to see on the school canteen menu?

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* 26. What would you like to eat at lunchtime?

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* 27. I am safe when I travel to school

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* 28. I know how to give basic first aid

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* 29. I know what I want to do when I leave school.

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* 30. I know what qualifications/skills I need to do this

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* 31. School provides me with opportunities to get these qualifications and skills.

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* 32. Rank whether the following methods of communication is the most effective or least effective way when reaching out to young people

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