Comprehensive High School Transition Survey Page 7

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If you had to make breakfast for your family, what would it be?
If you had to make lunch for your family, what would it be?
If you had to make supper for your family, what would it be?
Do you eat well balanced, healthy meals each day?
YES /
NO
Do you limit the amount of junk food you eat?
YES
/
NO
Do you maintain your weight at a good level?
YES
/
NO
Can you use basic tools to fix things around the house?
YES
/
NO
Can you independently take medication according to the label?
YES
/
NO
List any major medical problems that you have:
What time do you usually go to bed?
Get up?
Are you tired in school?
YES
/
NO
Do you have good health habits (avoid tobacco, alcohol, drugs, etc.)?
YES
/
NO
Do you have good personal grooming and hygiene habits?
YES
/
NO

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