Turn Off the TV Participant Survey
Turn Off the TV...Tune Into Seven Nights of Family Fun! Participant Survey
Question
Response
Rating scale 1 (A Little) to 5 (A Lot)
I learned about the following:
Reading to my child and reading related activities are a beneficial alternative to watching television.
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2
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5
Participating in physical activities as a family is a way to help children establish a healthy habit.
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3
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5
Making simple, healthy snacks togther is an easy way to eat more nutritiously.
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3
4
5
There are many ways to spend quality time together as a family instead of watching TV.
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2
3
4
5
Rating scale 1 (Disagree) to 5 (Agree)
As a result of using the booklet, I anticipate:
Turning the TV off for some time this week.
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2
3
4
5
Reading more often with my children.
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2
3
4
5
Changing our family's TV viewing habits.
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2
3
4
5
Providing more physical activity opportunities for my children.
1
2
3
4
5
Rating scale 1 (Disagree) to 5 (Agree)
In general:
I gained knowledge or skills
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2
3
4
5
The information is useful.
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2
3
4
5
I will use this information to better support my children/youth/family.
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4
5
I would recommend this materials to others.
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2
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5
Please fill in the following information. This information will help us comply with Federal and University policy to identify our clientele. This information will be kept strictly confidential.
Your gender:
Male
Female
Your ethnicity:
Asian/Pacific Islander
African-American
American Indian
Hispanic
White
How many children do you have in each of the following age/gender groups? (Check all that apply)
Boys:
Under 1 year old
1 year old
2 years old
3 years old
4 years old
5 years old
6-12 years old
Girls:
Under 1 year old
1 year old
2 years old
3 years old
4 years old
5 years old
6-12 years old
Which statement best describes your family?
One parent in the home
Two parents in the home
One parent plus other adults in the home
Two parents plus other adults in the home
How many parents in the home are employed?
All parents or the only parent in home are employed
One is employed; one is not employed
Primary language spoken at home:
English
Spanish
Other
Thank you for completing our survey.
