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This survey should be completed by the participating parent or carer and should take approximately 10
minutes to complete.
Please rate how strongly you agree or disagree with each of the following statements.
A number of situations or challenges are described below that may influence your confidence in getting your child to engage in healthy dietary and physical activity behaviors.
Please rate for each situation or challenge your confidence on average by recording a number from 0 to 10 using the scale below:
NOTE: healthy foods and beverages are most often low in saturated fat or sugar, for example,
fruit, vegetables, whole wheat bread, whole wheat pasta, fish, low-fat milk, and water. In contrast, unhealthy foods and beverages are usually high in saturated fat or sugar, for example buns, cookies, ice-cream, fast-food, high-fat milk, potato chips, and soft drinks.
How confident are you that you can...
How confident are you that you can get your child to eat healthy foods and drink healthy beverages…
Physical activity behaviours
NOTE: physical activity includes, for example, physical play indoors (such as play hide-and-seek or dance) or outdoors, to ride a bike, play football, climb, and take walks. In contrast, sedentary behaviours include, for example, to play computer games, watch TV, draw, and read books.
How confident are you that you can get your child to be physically active…
These questions have been taken from the Child Feeding Questionnaire, Pressure to Eat scale (Birch, et al., 2001) and the Parental Self Efficacy for Healthy Dietary and Physical Activity Behaviors in Preschoolers Scale (Bohman, et al, 2016).
Please list as many of the five main food groups that you know health experts recommend children should eat every day:
Please select how confident you feel in response to the following statements:
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