The document contains a 20 question survey about eating habits and healthy lifestyle practices within a family. The survey questions address topics such as meal planning with children, factors that influence food choices, analyzing nutrition labels, ensuring children eat a balanced diet from major food groups, frequency of home cooking and eating together as a family, encouraging healthy snacking and hydration with water instead of sugary drinks. The purpose is to understand a family's approach to supporting healthy eating and an active lifestyle for their children.