Get FIT Youth Survey
Get FIT Youth is a group fitness and nutrition program brought to you by The Family Resource Network. Get FIT is dedicated to promoting full, happy, healthy and fit lives for youth with special needs. Please assist us with bringing Get FIT Youth to your local community by completing this brief survey.
 
1.
Are you a parent/caregiver of a youth/young adult with a special health care need?
Yes
No
2.

If yes, please share diagnosis

 

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3.

How old is the youth/young adult you care for?

 

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4.
What county do you currently live in?
 

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5.
As a parent/caregiver how important are the following for you?
 Very Important Important Not Important   
Opportunities for people with special needs to learn about healthy eating   
Opportunities for people with special needs to learn about how to stay healthy   
Physical activity opportunities for people with special needs   
Nutrition and healthy cooking opportunities for people with special needs   
Having a weight management goal built into the IEP/transition plan of your youth/young adult   
6.
How would you rate the following for your youth/young adult in comparison to National guidelines?
 Well Below Average Below Average Average Above Average Well Above Average 
Weekly physical activity levels
Daily servings of vegetables
Daily servings of fruit
Daily servings of whole grains
Daily consumption of water
7.
Is your youth/young adult currently enrolled in a community-based physical activity, sports or nutrition program?
Yes
No
8.
How likely are you to enroll your youth/young adult in a local Get FIT program?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
9.
How willing are you to pay a reasonable fee for your youth/young adult to participate in a local Get FIT program?
Very willing
Somewhat willing
Neutral
Somewhat unwilling
Very unwilling
10.
If you are interested in receiving our seasonal Get FIT Gazette, please share your email address
 

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Thank you for taking the time to complete this survey. We look forward to bringing Get FIT Youth to you!