Name: _______________________________

_____________________

Date:

Grade 6 Health Survey

Healthy living habits are important and the first step to becoming
healthier is understanding your habits.
Fill out the following survey and then discuss with your
answers with your group.

If you had to add 1 more question what would it be? Write your
question and the answer to it on the back of this sheet. Hand
this sheet in in at the end of the class.