Timestamp Survey Start
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Now M-D-Y H:M
Now M-D-Y H:M this is for preserving original survey timestamps when uploading corrected datasets
Which group are you reporting for?
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Childcare Castle El Grito Emmanuel Baptist Eight Northern Indian Pueblos Council, Inc. (ENIPC) Haak'u Learning Center HELP New Mexico Midwest NMCAP Mora/Colfax Presbyterian Medical Services (PMS) Southwest NM Community Action Corporation (SNMCAC) TLC Development Centers West Las Vegas Archive Youth Development Inc. (YDI) Five Sandoval Indian Pueblos Inc. Dona Ana County Head Start Zuni Head Start Kids Planet
Which cluster?
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Centro Embudo Heights Mariposa Pedro Baca Rio Arriba Taos
Which cluster?
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Centro Embudo Heights Job Corps Pedro Baca Mariposa Rio Arriba Taos
Which PMS county?
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San Juan Sandoval
Which SNMCAC location?
* must provide value
Artesia Carlsbad Dexter Hagerman Roswell 1 Roswell 2
Which ENIPC location?
* must provide value
Nambe Pueblo San Ildefonso Pueblo
Which El Grito location?
* must provide value
6th Street Silver City Main Benny Trujillo Central Elementary Bayard Elementary Hurley Elementary Cliff Elementary
Which Midwest NMCAP location?
* must provide value
Adelino Ann Parish Dennis Chavez Desert View Gallup Gil Sanchez Grants Jaramillo La Promesa Los Lunas Socorro
Which West Las Vegas location?
* must provide value
Los Ninos West Las Vegas
Which Mora/Colfax location?
* must provide value
Cimarron Mora Raton Springer
Which TLC location?
* must provide value
Building Blocks Building Bridges Eastern Jeanie's Learning Curve Pre-K Little Blessings Parkside
Which Haak'u Learning Center location?
* must provide value
Haak'u Learning Center
Which Centro location?
* must provide value
Centro Mel Aragon Reginald Chavez
Which Centro location?
* must provide value
Centro Kirtland
Which Embudo location?
* must provide value
Chico & General Bradley Embudo Center Highland Kirtland Mesa Verde
Which Embudo location?
* must provide value
Chico & General Bradley Embudo Center Highland Mesa Verde
Which Heights location?
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Alameda Center Heights CDC Los Vecinos
Which Heights location?
* must provide value
Alameda Center Heights CDC Los Vecinos SIPI Head Start
Which Job Corps location?
* must provide value
Job Corps Mary Ann Binford La Promesa Mel Aragon
Which Mariposa location?
* must provide value
Job Corps La Mariposa SIPI Head Start
Which Mariposa location?
* must provide value
La Mariposa Reginald Chavez
Which Pedro Baca location?
* must provide value
Camino Real Academy La Promesa Los Padillas Mary Ann Binford Pedro Baca South Valley CNM Marcos Baca
Which Pedro Baca location?
* must provide value
Camino Real Academy Severo Padillas Pedro Baca South Valley CNM Marcos Baca Mary Ann Binford
Which Rio Arriba location?
* must provide value
Abiquiu Head Start Espanola Head Start Hernandez Head Start Sonrisa de Chimayo Velarde Head Start
Which Rio Arriba location?
* must provide value
Abiquiu Head Start Espanola Head Start Hernandez Head Start Sonrisa de Chimayo Velarde Head Start
Which Taos location?
* must provide value
Llano Quemado Head Start Questa Head Start San Cristobal Head Start Vadito Head Start
Which Taos location?
* must provide value
Llano Quemado Head Start Questa Head Start Arroyos del Norte Head Start Vadito Head Start
Which PMS San Juan County location?
* must provide value
Aztec Center Carlton Center Cottonwood Center Kirtland Center
Which PMS Sandoval County location?
* must provide value
Rio Rancho Bernalillo
Which Emmanuel Baptist location?
* must provide value
Emmanuel Baptist
Which Childcare Castle location?
* must provide value
Childcare Castle
Which HELP New Mexico location?
* must provide value
Alamogordo Center Tularosa Center Family Resource Center Animas Home Base Family Development Center Chaparral Sunrise Center Chaparral Columbus Center Deming Center La Luz Center Lordsburg Center The Learning Center My Little School Rainbow Center Sunland Park T or C Center Colquitt Center
Which Dona Ana County Center?
* must provide value
Anthony 1 Anthony 2 Anthony 3 Anthony 4 Berino Companeros Early Head Start Las Cruces 1 Las Cruces 2 Lester NMSU Vado
Which Five Sandoval Center?
* must provide value
Cochiti Pueblo Head Start Santa Ana Pueblo Head Start Zia Pueblo Head Start
Class name?
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Berino AM Berino PM
Which Lester Class?
* must provide value
PM
Which Vado Class?
* must provide value
Vado AM Vado PM
Which SNMCAC Artesia class?
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Room 1 Room 2 Room 3 Room 4 Room 5 Room 6 Room 7 Room 8 Room 9 Room 10 Room 11
Which SNMCAC Carlsbad class?
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Room 1 Room 2 Room 3 Room 4 Room 5 Room 6 Room 7 Room 8 Room 9 Room 10 Room 11 Room 12 Room 13 Room 14
Which SNMCAC Dexter class?
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Dexter
Which SNMCAC Hagerman class?
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Hagerman
Which SNMCAC Roswell 1 class?
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Room 1 Room 2 Room 3 Room 4 Room 5 Room 6 Room 7
Which SNMCAC Roswell 2 class?
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Room 8 Room 9 Room 10 Room 11 Room 12 Room 13 Room 14 Room 15 Room 16 Room 17
Which ENIPC Nambe Pueblo class?
* must provide value
Nambe Pueblo
Which ENIPC San Ildefonso Pueblo class?
* must provide value
San Ildefonso Pueblo
Which Haak'u Learning Center - Haak'u Learning Center class?
* must provide value
Diichuna Diitsiyaama Diyabenishuku Haak'u Kadziima Kaweeshtima Kuweeru
Which El Grito 6th Street class?
* must provide value
Room 5 Room 6
Which El Grito Silver City Main class?
* must provide value
Room 1 Room 2 Room 3 Room 4
Which El Grito Stout class?
* must provide value
Room 6 Room 7
Which El Grito Benny Trujillo class?
* must provide value
Room 8 Room 9 Room 10 Room 11
Which El Grito Cliff Elementary Class?
Room 8
Which El Grito Central Elementary class?
Room 10
Which El Grito Bayard Elementary class?
Room 12
Which El Grito Hurley Elementary class?
Room 13
Which Midwest NMCAP Adelino class?
* must provide value
PREK-1AM PREK-1PM 2AM 2PM 3AM 3PM PREK-4AM 5AM 5PM
Which Midwest NMCAP Ann Parish class?
* must provide value
AP1-EXD AP2-EXD
Which Midwest NMCAP Dennis Chavez class?
* must provide value
DC-AM DC-PM
Which Midwest NMCAP Desert View class?
* must provide value
DVE1-EXD DVE2-EXD
Which Midwest NMCAP Gallup class?
* must provide value
2AM 2PM 3AM 3PM 4AM 4PM 5AM 5PM 6AM 6PM 7AM 7PM PREK-8AM
Which Midwest NMCAP Gil Sanchez class?
* must provide value
GS-EXD
Which Midwest NMCAP Grants class?
* must provide value
1AM 1PM 2AM 2PM 3AM 4AM 5AM 6AM 7AM 7PM PREK-8AM PREK-8PM
Which Midwest NMCAP Jaramillo class?
* must provide value
JAR-AM JAR-PM
Which Midwest NMCAP La Promesa class?
* must provide value
LP-EXD
Which Midwest NMCAP Los Lunas class?
* must provide value
LLE1-AM LLE2-PM
Which Midwest NMCAP Socorro class?
* must provide value
2-EXD 3-EXD 4-EXD 5-EXD 6-EXD 7-EXD
Which West Las Vegas Los Ninos class?
* must provide value
Room 1 Room 2 Room 3 Room 4
Which West Las Vegas - West Las Vegas class?
* must provide value
Room 1 Room 2 Room 3
Which Mora/Colfax Cimarron class?
* must provide value
Room 5
Which Mora/Colfax Mora class?
* must provide value
Room 1 Room 2 Room 3
Which Mora/Colfax Raton class?
* must provide value
Room 6 Room 7
Which Mora/Colfax Springer class?
* must provide value
Room 4
Which TLC Building Blocks class?
3's 4's & 5's
Which TLC Building Bridges class?
3's/4's PreK A PreK B 5's
3's & 4's Fridays PreK
Which TLC Jeanie's class?
Big Room
Which TLC Learning Curve Pre-K class?
NM PreK 2,3,4's
Which TLC Little Blessings class?
NM PreK 3's 4's
Which TLC Parkside class?
NM PreK 1 NM PreK 2 3's
Which PMS San Juan County Aztec Center class?
* must provide value
AZ Rm 1 AZ Rm 2
Which PMS San Juan County Carlton Center class?
* must provide value
FC Rm 2 FC Rm 4 FC Rm 5 AM FC Rm 5 PM FC Rm 6 AM FC Rm 6 PM FC Rm 7 AM FC Rm 7 PM FC Rm 8 AM FC Rm 8 PM FC Rm 9 FC Rm 10 FC Rm 13 FC Rm 14 PreK Rm 15
Which PMS San Juan County Cottonwood Center class?
* must provide value
CHWS
Which PMS San Juan County Kirtland Center class?
* must provide value
KL AM KL PM
Which YDI Centro - Centro class?
* must provide value
C-1 C-2 C-3 AM C-3 PM C-4 C-5 C-6 C-7 C-8 C-9
Which YDI Centro - Centro class?
* must provide value
C-1 C-2 C-3 C-4 C-5 C-6 C-7 C-8 C-9
Which YDI Centro Mel Aragon class?
* must provide value
MA-1 MA-2
Which YDI Job Corps Mel Aragon class?
* must provide value
MA-1 MA-2
Which YDI Centro Reginald Chavez class?
RC-1 RC-2
Which YDI Mariposa Reginald Chavez class?
RC-1 RC-2
Which YDI Embudo Chico & General Bradley class?
* must provide value
Chico-1 Chico-2 AM Chico-2 PM
Which YDI Embudo Chico & General Bradley class?
* must provide value
Chico-1 Chico-2
Which YDI Embudo - Embudo Center class?
* must provide value
E-1 E-2 E-3 AM E-3 PM
Which YDI Embudo - Embudo Center class?
* must provide value
E-1 E-2
Which YDI Embudo Highland class?
* must provide value
High-1
Which YDI Embudo Highland class?
* must provide value
High-1
Which YDI Embudo Kirtland class?
* must provide value
Kirt-1 Kirt-2
Which YDI Centro Kirtland class?
* must provide value
Kirt-1 Kirt-2
Which YDI Embudo Mesa Verde class?
* must provide value
MV-1 MV-2 MV-3
Which YDI Embudo Mesa Verde class?
* must provide value
MV-1 MV-2 MV-3
Which YDI Heights Alameda Center class?
* must provide value
A-1 A-2
Which YDI Heights Alameda Center class?
* must provide value
A-1 A-2
Which YDI Heights - Heights CDC class?
* must provide value
H-1 H-2 H-4 PreK H-5
Which YDI Heights - Heights CDC class?
* must provide value
H-1 H-2 H-5 PreK
Which YDI Heights Los Vecinos class?
* must provide value
LV-1
Which YDI Heights Los Vecinos class?
* must provide value
LV-1
Which YDI Mariposa Job Corps class?
* must provide value
JC-1 JC-2 JC-3 JC-4 JC-5
Which YDI Job Corps- Job Corps class?
* must provide value
JC-1 JC-2 JC-3 JC-4 JC-5
Which YDI Mariposa - La Mariposa class?
* must provide value
M-1 AM M-1 PM M-2 AM M-2 PM M-3 M-4 M-5 M-8
Which YDI Mariposa - La Mariposa class?
* must provide value
M-1 M-2 M-3 M-4 M-5 M-8
Which YDI Mariposa SIPI Head Start class?
* must provide value
SIPI-4
Which YDI Heights SIPI Head Start class?
* must provide value
SIPI-4
Which YDI Pedro Baca Camino Real Academy class?
* must provide value
CR-1 PreK
Which YDI Pedro Baca Camino Real Academy class?
* must provide value
CR-1 PreK
Which YDI Pedro Baca La Promesa class?
* must provide value
LaPro-1 LaPro-2 AM LaPro-2 PM
Which YDI Job Corps La Promesa class?
* must provide value
LaPro-1 LaPro-2
Which YDI Pedro Baca Los Padillas class?
* must provide value
LP-1 LP-2
Which YDI Pedro Baca Severo Padillas class?
* must provide value
LP-1 LP-2
Which YDI Pedro Baca Mary Ann Binford class?
* must provide value
MAB-1 AM MAB-1 PM MAB-2
Which YDI Job Corps Mary Ann Binford class?
* must provide value
MAB-1 MAB-2
Which YDI Pedro Baca - Pedro Baca class?
* must provide value
PB-1 PB-2 AM PB-2 PM PB-3
Which YDI Pedro Baca - Pedro Baca class?
* must provide value
PB-1 PB-3
Which YDI Pedro Baca South Valley CNM class?
* must provide value
SVCNM-1 SVCNM-2
Which YDI Pedro Baca South Valley CNM class?
* must provide value
SVCNM-1 SVCNM-2
Which YDI Pedro Baca Westside Community Center class?
* must provide value
WS-1
Which YDI Pedro Baca Westside Community Center class?
* must provide value
WS-1
Which YDI Pedro Baca Marcos Baca Center class?
* must provide value
MB-1
Which YDI Rio Arriba Abiquiu Head Start class?
* must provide value
Abiq-1
Which YDI Rio Arriba Abiquiu Head Start class?
* must provide value
Abiq-1
Which YDI Rio Arriba Espanola Head Start class?
* must provide value
Espi-2 AM Espi-2 PM Espi-3
Which YDI Rio Arriba Espanola Head Start class?
* must provide value
Espi-2 Espi-3
Which YDI Rio Arriba Hernandez Head Start class?
* must provide value
Hern-1
Which YDI Rio Arriba Hernandez Head Start class?
* must provide value
Hern-1
Which YDI Rio Arriba Sonrisa de Chimayo class?
* must provide value
CHI-1
Which YDI Rio Arriba Sonrisa de Chimayo class?
* must provide value
CHI-1
Which YDI Rio Arriba Velarde Head Start class?
* must provide value
Vel-1
Which YDI Rio Arriba Velarde Head Start class?
* must provide value
Vel-1
Which YDI Taos Llano Quemado Head Start class?
* must provide value
LQ-1 AM LQ-1 PM LQ-2 LQ-3 LQ-4
Which YDI Taos Llano Quemado Head Start class?
* must provide value
LQ-1 LQ-2 LQ-3 LQ-4
Which YDI Taos Questa Head Start class?
* must provide value
Questa-1
Which YDI Taos Questa Head Start class?
* must provide value
Questa-1
Which YDI Taos San Cristobal Head Start class?
* must provide value
SC-1
Which YDI Taos Arroyos del Norte Head Start class?
* must provide value
SC-1
Which YDI Taos Vadito Head Start class?
* must provide value
Vad-1
Which YDI Taos Vadito Head Start class?
* must provide value
Vad-1
Which HELP New Mexico Alamogordo Center class?
* must provide value
Classroom 1 Region Head Start Classroom 4 AM Region Head Start Classroom 4 PM Region Head Start Classroom 1 Pre-K PM Classroom 2 Pre-K AM Classroom 2 Pre-K PM Classroom 3 All Day
Which HELP New Mexico Tularosa Center class?
* must provide value
Head Start Pre-K
Which HELP New Mexico Family Resource Center class?
* must provide value
Head Start Pre-K
Which HELP New Mexico Animas Home Base class?
* must provide value
Head Start
Which HELP New Mexico Family Development Center Chaparral class?
* must provide value
Classroom AM Head Start Classroom PM Head Start
Which HELP New Mexico Sunrise Center Chaparral class?
* must provide value
Pre K Classroom
Which HELP New Mexico Columbus Center class?
* must provide value
Head Start
Which HELP New Mexico Deming Center class?
* must provide value
Classroom C Head Start Classroom A Pre K
Which HELP New Mexico La Luz Center class?
* must provide value
Head Start AM Pre-K PM
Which HELP New Mexico Lordsburg Center class?
* must provide value
Head Start
Which HELP New Mexico The Learning Center class?
* must provide value
Head Start class
Which HELP New Mexico My Little School class?
* must provide value
Classroom AM Headstart Classroom PM Headstart
Which HELP New Mexico Rainbow Center class?
* must provide value
Classroom 1 AM Classroom 2 Pre-K
Which HELP New Mexico Sunland Park class?
* must provide value
AM Headstart PM Headstart
Which HELP New Mexico T or C Center class?
* must provide value
Classroom Head Start
Which HELP Colquitt Center class?
* must provide value
Colquitt Head Start
Which PMS Sandoval County Rio Rancho class?
* must provide value
Room 1 Room 2
Which PMS Sandoval County Bernalillo class?
Room 1 Room 2
Which class ID?
* must provide value
View equation
Which class period?
* must provide value
AM PM Full day
What week are you reporting?
* must provide value
Today M-D-Y
Teacher name?
* must provide value
Teacher email?
* must provide value
Teacher phone number?
* must provide value
Did you do a CHILE Plus nutrition lesson this week?
* must provide value
Yes No Other
Which nutrition lesson module were you on this week?
* must provide value
1 (Bell Pepper and Melon)
2 (Broccoli and Pear)
3 (Tomato and Pineapple)
4 (Spinach and Apple)
5 (Squash and Peach)
6 (Sweet Potato and Orange)
7 (Cucumber and Strawberry)
8 (Asparagus and Kiwi)