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Children's Health Survey: Real Solutions for Real Problems


Thank you for helping me write this book on the health habits of our children.  I greatly appreciate your taking a few minutes to complete this brief survey, which will provide valuable information for my book. The experience and opinions of seasoned parents, teachers, coaches and health practitioners are priceless. There are only a few questions for each section.

My name is Chantelle DeShazer and I'm a licensed acupuncturist, a health advocate for children, and a mom. I'm reaching out to you because our children's health is in crisis. How can they think well, behave well or be happy when they don't feel well? This book will help the busy parent, babysitter or teacher find simple solutions and clear action steps to improve their children's health. This is an important opportunity for the voices of those on the front line of our children's development to be heard and to share real solutions to real challenges. It is my objective to create a simple and practical resource guide, as well as a book directed at young children so they can learn the value of great health. 

Many of you are both parents and coaches, teachers or health professionals. Please fill out the sections that apply to you and the ages of your children.  If your children are grown, please indicate what you did when your children were at the three separate age ranges. Please share your stories, questions or comments in the extra space provided.

By participating, you give Chantelle DeShazer and her affiliates permission to use your comments. Comments may be edited for space. Please feel free to forward this survey to other people  who are interested in children's health. We would like to gather as many responses as possible.  Please respond by January 31, 2010.    

 
 
1.

PARENTS:
How  many children do you have?
 

  • 50 characters left.
2.

PARENTS:
How old are your children?
0-4
5-11
12-18
19 or older
3.

PARENTS:
What were the best things that you did for your children's health during age 0-4?
Please choose all that apply.
Prepared meals ahead
Worked with a nutritionist
Tried a variety of foods many times
Involved children in the food preparation, shopping
Talked to children about healthy food
Kept a regular eating schedule
Engaged them in regular exercise
Limited TV, video, and computer time
Limited sugar consumption
Gave them organic food
Gave them water to drink most of the time
Made decorative presentation of food (smiley faces, etc.)
Used specific product(s): please indicate under comment
Other  
  • Comment:

  • 500 characters left.
4.


 PARENTS:  
What were the best things that you did for your children's health during age 5-11 years old?
Prepared meals ahead
Taught them how to use cookbooks
Worked with a nutritionist
Tried a variety of foods many times
Involved children in the food preparation, shopping
Talked to children about healthy food
Kept a regular eating schedule
Engaged them in regular exercise
Limited TV, video, and computer time
Limited sugar consumption
Gave them organic food
Gave them water to drink most of the time
Used specific product(s): please indicate brands in comment box
Other  
  • Comment:

  • 500 characters left.
5.

PARENTS:
What were the best things that you did for your children's health age 12-18?
Prepared meals ahead
Worked with a nutritionist
Tried a variety of foods many times
Involved child in the eating preparation, shopping
Talked to child about healthy food
Kept a regular food schedule
Engaged them in regular exercise
Limited TV, video, and computer time
Limited sugar consumption
Gave them organic food
Gave them water to drink most of the time
Used specific product(s): please name under comments
Other  
  • Comment:

  • 500 characters left.
6.


PARENTS: 
What were the biggest obstacles you faced in keeping your children healthy and /or having good eating habits, age 0-4?
Please choose all that apply.
Birthday parties or other events with unhealthy foods
Picky eater
Too busy to prepare healthy meals
Lack of information on what my children needed to be healthy
My own habits were not healthy so it was difficult to model it for my children.
Healthy food was too expensive
Too much TV, computer, and video time
Food provided by school was not healthy
Other  
  • Comment:

  • 500 characters left.
7.


PARENTS:  
What were the biggest obstacles you faced in keeping your children healthy and /or having good eating habits, age 5-11?
Please choose all that apply.
Birthday parties or other events with unhealthy foods
Picky eater
Too busy to prepare healthy meals; family was on the run a lot.
Lack of information on what my child needed to be healthy
My own habits were not healthy so it was difficult to model it for my children.
Healthy food is too expensive
Too much TV, computer, and video time
Food provided by school was not healthy
Other  
  • Comment:

  • 500 characters left.
8.

PARENTS:
What were the biggest obstacles you faced in keeping your children healthy and/or having good eating habits, age 12-18?
Please choose all that apply.
Birthday parties, events with unhealthy foods
Picky eater
Too busy to prepare healthy meals, family was on the run a lot
Lack of information on what my child needed to be healthy
My own habits were not healthy so it was difficult to model it for my children
Healthy food is too expensive
Too much TV, computer, and video time
Food provided by school was not healthy
Other  
  • Comment:

  • 500 characters left.
9.

TEACHERS and COACHES: 
What do you believe the parents of your students/athletes could do at home to help them be healthier?
Choose all that apply:
Teach children more about healthy eating habits
Prepare more food at home, less take-out
Limit sugar, preservatives at home
Give them vitamins
Engage children in more exercise
Stop bringing sugary treats to school/games
Teach them to drink more water
Make bedtime earlier
Other  
  • Comment:

  • 500 characters left.
10.

TEACHERS and COACHES:
What  3 health habits do you believe are the biggest obstacles to your students/athletes doing well in school and sports, both behaviorally and mentally?
Too much sugar
Too much food with preservatives and other chemicals
Portion sizes are too big
Too long between meals
Too little exercise
Too much TV, video and computer time
Not giving them enough vegetables
Lack of sleep
Overscheduling
Other  
  • Comment:

  • 500 characters left.
11.

TEACHERS AND COACHES:
Please indicate the age range you currently work with.
Age 0-4
Age 5-11
Age 12-18
12.

HEALTH PROFESSIONAL:
If you could convey your top 3 most important health concepts to parents of children ages 0-4, they would be:  

 

  • 350 characters left.
13.

HEALTH PROFESSIONAL:
If you could convey your top 3 most important health concepts to parents of children ages 5-11, they would be:  

 

  • 350 characters left.
14.

HEALTH PROFESSIONAL:
If you could convey your top 3 most important health concepts to parents of children ages 12-18, they would be:
 

  • 50 characters left.
15.

HEALTH PROFESSIONAL:
What is the biggest obstacle that you see to children's health, ages 0-4?
 

  • 350 characters left.
16.

HEALTH PROFESSIONAL:
What is the biggest obstacle that you see to children's health, ages 5-11?
 

  • 350 characters left.
17.

HEALTH PROFESSIONAL:
What is the biggest obstacle to children's health, ages 12-18?
 

  • 350 characters left.
18.

HEALTH PROFESSIONAL:
Your professional license is as a(n):
Medical Doctor
Chiropractor
Psychologist
Acupuncturist
Nutritionist
Massage therapist
Naturopath
Other  
19.

ALL PARTICIPANTS:
Please share a short story of how changing one health habit made a difference in a child's life. Comments may be edited for space. Please include first name, last initial and city.
 

  • 1000 characters left.
20.

Please fill out the information below so that we can separate answers according to region and notify you when  the book is available. You will not receive any other emails from us.
Thank you.
First Name:
Email Address:
emailaddress@xyz.com
City:
State/Province
(US/Canada):
Postal Code:

Thank you for taking the time to complete this survey.  I appreciate your participation and valuable input.

Creating healthy families through empowerment, inspiration and education.

Sincerely,

Chantelle DeShazer, L.Ac.                                   
Meridian Acupuncture
www.meridianacupuncture.net
chantelle@meridianacupuncture.net
619-701-8465

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