The Sugar Smart Challenge Survey

The Sugar Smart Challenge:

"Can you drink only water and milk each day, with no more than one other drink, such as fruit juice, with a main meal over each day?"

Families are encouraged to undertake the challenge together.

Please help your child complete this form to be in with the chance of winning fantastic prizes, including family meals at Healthy Choice cafes and restaurants, activity sessions, shopping vouchers and tickets for events and shows. We also have 100 goodie bags up for grabs!

Deadline: Friday 25 March 2016

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* 1. What is your full name?

First Name

Surname

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* 2. Please choose your school from the list below.

Other (please specify)

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* 3. How old are you?

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* 4. Do you remember the sugar smart assembly?

Yes

Unsure

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* 5. Have you tried having only plain water or milk instead of other drinks?

Yes

Unsure

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* 6. Did your family try this too?

Yes

Unsure

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* 7. Have you tried any of Bruno’s top tips?

Yes

Unsure

Well done for being Sugar Smart!

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* 8. Parents - want more info? To find out more about healthy lifestyles in Brighton & Hove, please provide your email address:

Thank you for participating in the Sugar Smart Challenge and answering our questions. Once you click submit, you will be redirected to the Sugar Smart website.

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This information will be recorded in accordance with the Data Protection Act and used only in accordance as stated and within the set Challenge by programme partners. Please refer to the Brighton & Hove Albion FC website for full details on Data Protection Policy.