Participate and Evaluate

Assessing Attitudes and Behaviors

* 2. Using the scale provided, please indicate on how many days out of the last seven that you performed each of the behaviors described in the following statements.

	0 days	1	2	3	4	5	6	7 days
1. In the last week, on how many days did you watch television instead of studying?	1. In the last week, on how many days did you watch television instead of studying? 0 days	1. In the last week, on how many days did you watch television instead of studying? 1	1. In the last week, on how many days did you watch television instead of studying? 2	1. In the last week, on how many days did you watch television instead of studying? 3	1. In the last week, on how many days did you watch television instead of studying? 4	1. In the last week, on how many days did you watch television instead of studying? 5	1. In the last week, on how many days did you watch television instead of studying? 6	1. In the last week, on how many days did you watch television instead of studying? 7 days
2. In the last week, on how many days did you go out with friends instead of studying?	2. In the last week, on how many days did you go out with friends instead of studying? 0 days	2. In the last week, on how many days did you go out with friends instead of studying? 1	2. In the last week, on how many days did you go out with friends instead of studying? 2	2. In the last week, on how many days did you go out with friends instead of studying? 3	2. In the last week, on how many days did you go out with friends instead of studying? 4	2. In the last week, on how many days did you go out with friends instead of studying? 5	2. In the last week, on how many days did you go out with friends instead of studying? 6	2. In the last week, on how many days did you go out with friends instead of studying? 7 days
3. In the last week, on how many days did you eat at least five servings of fruits/vegetables?	3. In the last week, on how many days did you eat at least five servings of fruits/vegetables? 0 days	3. In the last week, on how many days did you eat at least five servings of fruits/vegetables? 1	3. In the last week, on how many days did you eat at least five servings of fruits/vegetables? 2	3. In the last week, on how many days did you eat at least five servings of fruits/vegetables? 3	3. In the last week, on how many days did you eat at least five servings of fruits/vegetables? 4	3. In the last week, on how many days did you eat at least five servings of fruits/vegetables? 5	3. In the last week, on how many days did you eat at least five servings of fruits/vegetables? 6	3. In the last week, on how many days did you eat at least five servings of fruits/vegetables? 7 days
4. In the last week, on how many days did you eat at fast food restaurants?	4. In the last week, on how many days did you eat at fast food restaurants? 0 days	4. In the last week, on how many days did you eat at fast food restaurants? 1	4. In the last week, on how many days did you eat at fast food restaurants? 2	4. In the last week, on how many days did you eat at fast food restaurants? 3	4. In the last week, on how many days did you eat at fast food restaurants? 4	4. In the last week, on how many days did you eat at fast food restaurants? 5	4. In the last week, on how many days did you eat at fast food restaurants? 6	4. In the last week, on how many days did you eat at fast food restaurants? 7 days
5. In the last week, on how many days did you eat sweets such as cookies, cakes, or ice cream?	5. In the last week, on how many days did you eat sweets such as cookies, cakes, or ice cream? 0 days	5. In the last week, on how many days did you eat sweets such as cookies, cakes, or ice cream? 1	5. In the last week, on how many days did you eat sweets such as cookies, cakes, or ice cream? 2	5. In the last week, on how many days did you eat sweets such as cookies, cakes, or ice cream? 3	5. In the last week, on how many days did you eat sweets such as cookies, cakes, or ice cream? 4	5. In the last week, on how many days did you eat sweets such as cookies, cakes, or ice cream? 5	5. In the last week, on how many days did you eat sweets such as cookies, cakes, or ice cream? 6	5. In the last week, on how many days did you eat sweets such as cookies, cakes, or ice cream? 7 days
6. In the last week, on how many days did you miss an appointment?	6. In the last week, on how many days did you miss an appointment? 0 days	6. In the last week, on how many days did you miss an appointment? 1	6. In the last week, on how many days did you miss an appointment? 2	6. In the last week, on how many days did you miss an appointment? 3	6. In the last week, on how many days did you miss an appointment? 4	6. In the last week, on how many days did you miss an appointment? 5	6. In the last week, on how many days did you miss an appointment? 6	6. In the last week, on how many days did you miss an appointment? 7 days
7. In the last week, on how many days did you put off an important task until the last minute?	7. In the last week, on how many days did you put off an important task until the last minute? 0 days	7. In the last week, on how many days did you put off an important task until the last minute? 1	7. In the last week, on how many days did you put off an important task until the last minute? 2	7. In the last week, on how many days did you put off an important task until the last minute? 3	7. In the last week, on how many days did you put off an important task until the last minute? 4	7. In the last week, on how many days did you put off an important task until the last minute? 5	7. In the last week, on how many days did you put off an important task until the last minute? 6	7. In the last week, on how many days did you put off an important task until the last minute? 7 days
8. In the last week, on how many days did you spend money without thinking about your budget?	8. In the last week, on how many days did you spend money without thinking about your budget? 0 days	8. In the last week, on how many days did you spend money without thinking about your budget? 1	8. In the last week, on how many days did you spend money without thinking about your budget? 2	8. In the last week, on how many days did you spend money without thinking about your budget? 3	8. In the last week, on how many days did you spend money without thinking about your budget? 4	8. In the last week, on how many days did you spend money without thinking about your budget? 5	8. In the last week, on how many days did you spend money without thinking about your budget? 6	8. In the last week, on how many days did you spend money without thinking about your budget? 7 days
9. In the last week, on how many days did you overspend beyond what you should?	9. In the last week, on how many days did you overspend beyond what you should? 0 days	9. In the last week, on how many days did you overspend beyond what you should? 1	9. In the last week, on how many days did you overspend beyond what you should? 2	9. In the last week, on how many days did you overspend beyond what you should? 3	9. In the last week, on how many days did you overspend beyond what you should? 4	9. In the last week, on how many days did you overspend beyond what you should? 5	9. In the last week, on how many days did you overspend beyond what you should? 6	9. In the last week, on how many days did you overspend beyond what you should? 7 days
10. In the last week, on how many days did you lose your temper over something of small importance?	10. In the last week, on how many days did you lose your temper over something of small importance? 0 days	10. In the last week, on how many days did you lose your temper over something of small importance? 1	10. In the last week, on how many days did you lose your temper over something of small importance? 2	10. In the last week, on how many days did you lose your temper over something of small importance? 3	10. In the last week, on how many days did you lose your temper over something of small importance? 4	10. In the last week, on how many days did you lose your temper over something of small importance? 5	10. In the last week, on how many days did you lose your temper over something of small importance? 6	10. In the last week, on how many days did you lose your temper over something of small importance? 7 days
11. In the last week, on how many days did you floss your teeth?	11. In the last week, on how many days did you floss your teeth? 0 days	11. In the last week, on how many days did you floss your teeth? 1	11. In the last week, on how many days did you floss your teeth? 2	11. In the last week, on how many days did you floss your teeth? 3	11. In the last week, on how many days did you floss your teeth? 4	11. In the last week, on how many days did you floss your teeth? 5	11. In the last week, on how many days did you floss your teeth? 6	11. In the last week, on how many days did you floss your teeth? 7 days
12. In the last week, on how many days did you leave dirty dishes in the sink for more than a day?	12. In the last week, on how many days did you leave dirty dishes in the sink for more than a day? 0 days	12. In the last week, on how many days did you leave dirty dishes in the sink for more than a day? 1	12. In the last week, on how many days did you leave dirty dishes in the sink for more than a day? 2	12. In the last week, on how many days did you leave dirty dishes in the sink for more than a day? 3	12. In the last week, on how many days did you leave dirty dishes in the sink for more than a day? 4	12. In the last week, on how many days did you leave dirty dishes in the sink for more than a day? 5	12. In the last week, on how many days did you leave dirty dishes in the sink for more than a day? 6	12. In the last week, on how many days did you leave dirty dishes in the sink for more than a day? 7 days
13. In the last week, on how many days did you sleep in past your usual waking time?	13. In the last week, on how many days did you sleep in past your usual waking time? 0 days	13. In the last week, on how many days did you sleep in past your usual waking time? 1	13. In the last week, on how many days did you sleep in past your usual waking time? 2	13. In the last week, on how many days did you sleep in past your usual waking time? 3	13. In the last week, on how many days did you sleep in past your usual waking time? 4	13. In the last week, on how many days did you sleep in past your usual waking time? 5	13. In the last week, on how many days did you sleep in past your usual waking time? 6	13. In the last week, on how many days did you sleep in past your usual waking time? 7 days
14. On how many of the past 7 days did you get enough sleep so that you felt rested when you woke up?	14. On how many of the past 7 days did you get enough sleep so that you felt rested when you woke up? 0 days	14. On how many of the past 7 days did you get enough sleep so that you felt rested when you woke up? 1	14. On how many of the past 7 days did you get enough sleep so that you felt rested when you woke up? 2	14. On how many of the past 7 days did you get enough sleep so that you felt rested when you woke up? 3	14. On how many of the past 7 days did you get enough sleep so that you felt rested when you woke up? 4	14. On how many of the past 7 days did you get enough sleep so that you felt rested when you woke up? 5	14. On how many of the past 7 days did you get enough sleep so that you felt rested when you woke up? 6	14. On how many of the past 7 days did you get enough sleep so that you felt rested when you woke up? 7 days

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