Child Obesity Risk Test

On average, how many hours per week does your child spend watching television, including weekends?

0-10
10-20
21+

Does your child eat snacks in front of the TV?

Yes
No

On average, how many hours a week does your child spend at the computer or playing computer games such as Nintendo or X-box, including weekends?

0-10
10-20
21+

How much physical activity does your child get each day? Include activities such as walking, cycling, swimming and running.

Less than half an hour
30 minutes
60 minutes or more

Does your child engage in regular group activities that involve physical activity, such as being part of a sports team or taking dancing lessons?

Yes
No

Do you ever exercise as a family? For example, taking a family trip to the local swimming pool or going for a walk or bike ride together.

Rarely
Occasionally
Frequently

How much soda does your child consume?

One 12 fl. oz can on the weekends or special occasions
One 12 fl. oz can per day
Two or more 12 fl. oz cans per day

How often do you sit down as a family to eat meals?

Every day
Several times a week
Rarely

Does your family have the television on while you eat?

Yes
No

Does your child eat a healthy breakfast every day?

Yes
No

Your child has just come home from school. Which of these snacks do you have on hand?

Lowfat yogurt or lowfat milk and fresh fruit
Packet of chips and soda
Homemade muffin or cake and juice

How often do your kids eat out at a fast-food restaurant or get take-away food?

Occasionally
Once a week
Several times a week

If you go to a fast-food restaurant, do you allow your child to 'up-size' their fries and soda?

Yes
No

Do you allow free access to the soda fountain?

Yes
No