- What sex are you?
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- During the past week, how many times did you do active work around the house, such as cleaning, laundry, or yardwork?
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- During the past week, how many times did you watch television or videos or play video games?
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- How many times in a normal week do you work, play, or exercise hard enough to make you sweat and breathe heavily?
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- During the past week, how many times did you go rollerblading, roller-skating, skate-boarding, or bicycling? Count commuting to school or other activities.
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- During the past week, how many times did you play an active sport, such as baseball, softball, basketball, soccer, swimming, or football?
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- During the past week, how many times did you do exercise, such as jogging, walking, karate, jumping rope, gymnastics, or dancing?
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- Do your parents let you make your own decisions about how much television you watch?
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- Have you played a sport with your mother/adoptive mother/stepmother/foster mother/etc. in the past four weeks?
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- Have you played a sport with your father/adoptive father/stepfather/foster father/etc. in the past four weeks?
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- Do you use a physical fitness or recreation center in your neighborhood?
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- Do you usually feel safe playing outside in your neighborhood?
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