Site: ______________________________ OMB Control # 0584-0524
Date: _____________________________ 04/30/2013
OMB BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-0524. The time to complete this information collection is estimated as part of the 60 minutes for the focus group interview, including the time for reviewing instructions and completing the information.
Student Survey
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I've Tried It… |
I haven't Tried It… |
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…and I like it |
…and I don't like it |
…and I definitely would |
…and I probably would |
…and I might or might not |
…and I probably would not |
…and I definitely would not |
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Broccoli |
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Collard Greens |
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Dark Green Leaf Lettuce |
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Mustard Greens |
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Spinach |
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Swiss Chard |
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Acorn Squash |
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Butternut Squash |
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Pumpkin |
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Garbanzo Beans (chick peas) |
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Corn |
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Green Peas |
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I've Tried It… |
I haven't Tried It… |
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…and I like it |
…and don't like it |
…and definitely would |
…and probably would |
…and might or might not |
…and probably would not |
…and definitely would not |
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Potatoes |
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Zucchini |
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Carrots |
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Kohlrabi |
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Chinese Cabbage |
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Cucumbers |
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Green Beans |
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Onions |
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Red Bell Peppers |
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Red Cabbage |
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Tomatoes |
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Turnips |
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Strawberries |
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Cantaloupe |
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| File Type | application/msword |
| File Title | CMOM Healthy Living Project Pre- Post Questionnaire |
| Author | Martha |
| Last Modified By | RBrown |
| File Modified | 2012-01-04 |
| File Created | 2012-01-04 |