Sheet for checking several habits during the intervention

Please write down wake up time and go to bed time every day. On the breakfast your child (children) took, you can write every day whether the three components of carbohydrates, main dish (protein resource) and cows’ milk. You can write down every day whether you performed the reading of the picture book distributed.

○: Yes; ×: No,

June 16

17

18

19

20

21

22

23

24

25

26

Wake up time

Breakfast

Carbohydrate

Main dish

Cow milk

Reading performance

Bed-in-time

June 27

28

29

30

July 1

2

3

4

5

Number of ○

in total

Wake up time

Breakfast

Carbohydrate

Main dish

Cow milk

Reading performance

Bed-in-time

Example of foods

1. Carbohydrate: bread, boiled rice, noodle, serial etc 2. Main dish: fishes, meats, soy beans, fermented beans and tofu, ham and sausage etc. 3. Cow milk and milk products: cow milk, cheese and yogurt etc. # Please check the sheet, which can be put on your refrigerator for 3 weeks from 14th June to 4th July 2017 # We can collect the sheet which has been filled with you, on 10th July 2017 which will be dead line for sub-mission.