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* 1. Would you say you eat healthily? (This would normally include eating 5 portions of fruit and vegetables a day, 1 being healthy and 5 being extremely un healthy)

1 You eat extremely un healthy

2

3

4

5 You eat really Healthy

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* 2. How often do you eat take-away/fast food?

I don't

On average once a month

On average once a week

On average up to twice a week

On average up to 4 times a week

On average every day

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* 3. In the last 3 months have you looked after a younger family member (e.g. brother, sister, cousin etc) by yourself for over 2 hours?

Yes

No

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* 4. Do you look after a family member on a regular basis (e.g. Weekly)?

Yes

No

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* 5. Do you take part in at least 30 minutes of exercise each day?

Yes

No

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* 6. Do you take part in any physical activity outside of school/college?

Everyday

Regularly

Once a week

Sometimes

None