Get Healthy Habits Questionnaire (ages 2-9). 5210 Tools And Resources 2020-2025

Completing the Healthy Habits Questionnaire is an important step in understanding and improving the health and well-being of children aged 2-9. This guide will provide you with clear and user-friendly instructions to fill out the questionnaire effectively.

Follow the steps to complete the Healthy Habits Questionnaire accurately.

1. Press the ‘Get Form’ button to retrieve the Healthy Habits Questionnaire and open it in your preferred editor.
2. Begin by entering the patient name at the top of the form, ensuring it is spelled correctly.
3. For question one, indicate the number of servings of fruits or vegetables your child consumes daily. Remember that one serving is roughly the size of your child's palm.
4. Answer how many times a week your child eats dinner at the table with family. Consider what is typical for your family routine.
5. Fill out how many times a week your child has breakfast, noting any patterns that are consistent.
6. Indicate how many times a week your child consumes takeout or fast food, as this can impact their nutrition.
7. On questions six and seven, check 'Yes' or 'No' to indicate whether there is a TV or computer in your child's bedroom.
8. Specify how much time your child spends engaged in active play each day, looking for activities that result in faster breathing or heart rate.
9. For question nine, input the daily servings of various beverages your child consumes, including 100% juice, water, milk, and soda.
10. Identify one key change you would like to help your child make based on your responses, by checking the corresponding box.

Start filling out the Healthy Habits Questionnaire online today to support your child's health.