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National Institutes of Health
National Institute of Nursing Research
Office of Behavioral and Social Sciences Research

The Science of Healthy Behaviors

Main    Getting Started    Teacher's Guide    Student Activities    About NIH

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Teacher's Guide

Permission Letter to Parents and Guardians

Dear Parents and Guardians,

Next week students in my class will begin a short unit called The Science of Healthy Behaviors. As part of the unit, students will be asked to fill out a confidential, 12-question survey about their physical activities. The purpose of the survey is to get a sense of how active students are in their daily lives. We will compare the class’s data with results from middle school students across the country.

Please fill in the permission slip below and return it by __________________. Students who don’t participate in the survey will work with other (anonymous) students’ data.

Thank you for your continued support.


_____________________________
Teacher’s Signature



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____ My child, ____________________________, has permission to participate in the physical activity survey.

____ My child, ____________________________, will not participate in the survey and will analyze data from other (anonymous) students.



_____________________________
Parent’s or Guardian’s Signature


________________________
Date

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