Session 10 Fidelity Checklist: Wholey Moley, It’s Whole Grains
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Question 1 of 26
1. Question
Coordinator Name
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 2 of 26
2. Question
Community Name
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 3 of 26
3. Question
Cohort
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 4 of 26
4. Question
Please indicate the activities that were completed: Weigh-in families
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Question 5 of 26
5. Question
Please indicate the activities that were completed: Record weight
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Question 6 of 26
6. Question
Please indicate the activities that were completed: Collect Habit Books
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Question 7 of 26
7. Question
Please indicate the activities that were completed: Handout all printouts prior to start
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Question 8 of 26
8. Question
Please indicate the activities that were completed: Whole wheat bread, white bread, labels
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Question 9 of 26
9. Question
Please indicate the activities that were completed: Parent discussion on whole grains
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Question 10 of 26
10. Question
Please indicate the activities that were completed: Parent discussion on rewards/reinforcements, community resources for rewards
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Question 11 of 26
11. Question
Please indicate the activities that were completed: Parent & child activity
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Question 12 of 26
12. Question
Please indicate the activities that were completed: Did you have all the materials needed?
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Question 13 of 26
13. Question
Provide details on any ‘no’ response from above:
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 14 of 26
14. Question
Rate how engaged the families were during this session on a scale of 1 to 10 (1 being not at all engaged and 10 being completely engaged).
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Not at all engaged Completely engaged
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Question 15 of 26
15. Question
Participants can identify whole grain foods using the nutrition facts label.
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Did not meet the objective Completely met the objective
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Question 16 of 26
16. Question
Participants understand the nutritional benefits from eating whole grain foods.
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Did not meet the objective Completely met the objective
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Question 17 of 26
17. Question
Participants can include more whole grains in their diet.
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Did not meet the objective Completely met the objective
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Question 18 of 26
18. Question
Participants can advocate to family and peers to select 3 whole grain servings a day for health benefits.
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Did not meet the objective Completely met the objective
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Question 19 of 26
19. Question
Participants can identify five grain foods they eat throughout the day.
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Did not meet the objective Completely met the objective
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Question 20 of 26
20. Question
Participants understand appropriate reinforcers (e.g., not using food as a reward) to help with initial and sustained behavior change.
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Did not meet the objective Completely met the objective
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Question 21 of 26
21. Question
Participants can identify non-food rewards including community resources and activities.
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Did not meet the objective Completely met the objective
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Question 22 of 26
22. Question
Participants established measurable, specific weekly goals for nutrition and physical activity.
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Did not meet the objective Completely met the objective
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Question 23 of 26
23. Question
Families were continually active during physical activity times.
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Did not meet the objective Completely met the objective
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Question 24 of 26
24. Question
Families had fun during physical activity times.
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Did not meet the objective Completely met the objective
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Question 25 of 26
25. Question
What went according to plan when meeting these objectives?
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 26 of 26
26. Question
What did not go according to plan when meeting these objectives?
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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