This survey is intended to be taken by a parent or caregiver.
NOTE: This survey can also be taken by a youth 13 years of age or older. If you are under 13 years old, please have your parent or caregiver complete the survey.
As part of completing the survey, you will be asked the following: (1) background information; (2) family health habits; (3) individual health habits.
At the end of the 25 question survey, you will be given a score for your family's results and for each child. In addition you will be given a summary of health habits what you are already doing well and what you could be doing a little better. Lastly online and local resources will be provided based on your results. Please answer the survey as completely and accurately as possible so that we can provide the most valuable feedback. Thanks for taking the time to invest in your family's health!
You must provide an e-mail address if you want the summary and related key resources to be e-mailed to you.
In order to complete this survey, your child(ren) must be between 2 and 19 years old.