Form Approved
OMB No: 0920-0445
Expiration Date: xx/xx/xxxx
Nutrition Services
District
Questionnaire
§
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, Mailstop D-74, Atlanta, GA 30333; Attention PRA (0920-0445).
Nutrition Services
District
Questionnaire
Questions
Menu Planning and Food Ordering 1–7
Food Preparation 8–13
Collaboration and Promotion 14–20
Evaluation 21
District Wellness Policy 22–24
Staffing and Professional Development 25–32
Nutrition Services and Child Nutrition Requirements and Recommendations 33–61
District Food Service Director 62–78
NOTE: THROUGHOUT THIS QUESTIONNAIRE, TEXT THAT APPEARS IN ALL CAPITAL LETTERS WILL NOT BE READ ALOUD TO RESPONDENTS.
THIS QUESTIONNAIRE WILL BE ADMINISTERED USING COMPUTER ASSISTED TELEPHONE INTERVIEW TECHNOLOGY. THE INTERVIEWER WILL READ THE QUESTIONS ALOUD AND TYPE RESPONSES TO THE QUESTIONS INTO THE COMPUTER. THE INTERVIEW PROGRAM WILL 1) DISPLAY THE CORRECT TENSE OF VERBS, 2) PROVIDE ALTERNATE ANSWERS TO QUESTIONS (E.G., NOT APPLICABLE, “I DON’T KNOW”), 3) NAVIGATE COMPLEX SKIP PATTERNS, AND 4) PERFORM OTHER USEFUL FUNCTIONS. COMMENTS APPEARING IN THE MARGIN REPRESENT ADDITIONAL CLARIFICATION ON THE QUESTION OR THE SPECIFIC TERMINOLOGY USED. THIS TEXT WILL APPEAR ON-SCREEN UNDER THE MAIN QUESTION TEXT. THE PROGRAMMING SPECIFICATIONS FOR THE INTERVIEW ARE NOT INCLUDED IN THIS PRINTED VERSION OF THE QUESTIONNAIRE.
This questionnaire focuses on your district’s policies and practices regarding nutrition services.
For the purposes of this questionnaire, “policy” means any law, rule, regulation, administrative order, or similar kind of mandate issued by the local school board or other local agency with authority over schools in your district. SHPPS is most interested in what is required by the district, not what is recommended or contained in non-binding guidance documents, unless the question specifically asks about recommendations.
For the purposes of this questionnaire, “adopted a policy” means either that the district has its own policy or that the district follows a policy established at the state level, including any law, rule, regulation, administrative order, or similar kind of mandate.
If a district policy is worded in such a way that it requires schools to develop and adopt their own policies on a given topic, for the purposes of this questionnaire please consider it the same as a district-wide requirement.
Districts may sometimes grant policy exceptions or waivers, but please answer each question based on what is considered the general policy and standard practice.
Please do not consider school practices or policies when answering the questions. This information is gathered during data collection from schools across the country.
The first set of questions ask about the menu planning and food ordering process in your district.
Does your district nutrition services program have primary responsibility for planning the menus for meals at any schools in your district?
Yes 1
No 2 SKIP TO Q5
Which one of the following menu planning techniques does your district use to plan the menus for school meals?
Traditional Food-based Menu Planning 1
Enhanced Food-based Menu Planning 2
Nutrient
Standard Menu Planning or Assisted
Nutrient Standard Menu
Planning 3 SKIP TO Q4
Some other approach 4
Does your district typically or routinely use a computer to analyze the nutritional content of the school menus?
Yes 1
No 2 SKIP TO Q5
When analyzing the nutritional content of foods served, is a weighted nutrient analysis used?
Yes 1
No 2
Does your district nutrition services program have primary responsibility for deciding which foods to order for any schools in your district?
Yes 1
No 2 SKIP TO THE INTRODUCTION TO Q8
Does your district purchase foods from local or regional growers or producers?
Yes 1
No 2
Do your district’s food procurement contracts specifically address…
Yes No
Food safety? 1 2
Hazard Analysis and Critical Control Points (HACCP)? 1 2
Nutritional standards for a la carte foods? 1 2
Preference for locally or regionally grown foods? 1 2
Cooking methods for precooked items, for
example
baked instead of deep fried? 1 2
The next questions ask about the food preparation process.
The first question asks about cooking food. Please think about the actual cooking of the food, not just the reheating of food that was previously prepared.
Does your district nutrition services program have primary responsibility for cooking foods for schools in your district, for example in a central kitchen?
Yes 1
No 2 SKIP TO THE INTRODUCTION TO Q14
The next questions ask about substituting one type of ingredient for another.
During the past 30 days, when preparing food for schools in your district, how often…
Almost
Some- Always
or
Never Rarely times Always
Were non-stick spray or pan liners used
instead of
grease or oil? 1 2 3 4
Was vegetable oil used instead of
shortening, butter, or
margarine? 1 2 3 4
Were part-skim or low-fat
cheese used
instead of regular cheese? 1 2 3 4
Were skim, low-fat,
soy, or nonfat
dry milk used instead of whole milk? 1 2 3 4
Were ground turkey or lean ground
beef used instead of
regular
ground beef? 1 2 3 4
Were cooked dried beans, canned
beans, soy products, or
other meat
extenders used instead of meat? 1 2 3 4
Were fresh or frozen vegetables used
instead of
canned? 1 2 3 4
Was fresh or frozen fruit used
instead of
canned? 1 2 3 4
Were low-sodium canned vegetables
used instead of
regular canned
vegetables? 1 2 3 4
(Q9 continued)
Almost
Some- Always
or
Never Rarely times Always
Were other seasonings used instead
of salt? 1 2 3 4
Were low-fat
or nonfat yogurt,
mayonnaise, or sour cream used
instead
of regular mayonnaise, sour
cream, or creamy salad
dressings? 1 2 3 4
The next questions ask about reducing the amount of an ingredient rather than replacing it with another ingredient.
During the past 30 days, when preparing foods for schools in your district, how often was…
Almost
Some- Always
or
Never Rarely times Always
The amount of sugar called for in
recipes
reduced or were low-sugar
recipes used? 1 2 3 4
The amount of fats and oils called
for in recipes
reduced or were
low-fat recipes used? 1 2 3 4
The amount of salt called for
in recipes reduced or
were
low-sodium recipes used? 1 2 3 4
There are several ways to reduce fat when preparing meat and poultry. The next question asks about techniques that may have been used when preparing food for schools in your district.
During the past 30 days, how often was…
District
uses
only
Almost precooked
Some- Always meat/
Never Rarely times or
Always poultry
Meat roasted, baked, or
broiled rather than
fried? 1 2 3 4 5
Meat or poultry roasted on a
rack so fat would
drain? 1 2 3 4 5
Fat drained from browned meat? 1 2 3 4 5
Fat trimmed from meat or lean
meat used 1 2 3 4 5
Skin removed from poultry or
skinless poultry
used? 1 2 3 4 5
Solid fat spooned from chilled
meat or poultry
broth? 1 2 3 4
Fat skimmed off warm broth,
soup, stew, or
gravy? 1 2 3 4
There are several ways to reduce fat when preparing vegetables. The next question asks about techniques that may have been used when preparing vegetables for schools in your district.
During the past 30 days, how often were…
Almost
Some- Always
or
Never Rarely times Always
Potatoes boiled, mashed, or baked,
rather than
fried or deep fried? 1 2 3 4
Other vegetables steamed or baked? 1 2 3 4
Vegetables prepared without using
butter, margarine, or
a cheese or
creamy sauce? 1 2 3 4
HACCP-based recipes are those that include critical control points, such as cooking, and associated critical limits, such as time and temperature, in their directions. They are designed to reduce the risk of food contamination and bacterial growth that could lead to foodborne illness. For example, HACCP-based recipe directions might read, “Cook the chicken to at least 165 degrees Fahrenheit for at least 15 seconds.”
During the past 30 days, how often did your district use Hazard Analysis and Critical Control Points (HACCP)-based recipes?
Never 1
Rarely 2
Sometimes 3
Almost always or always 4
The next question asks about district participation in farm to school activities. Farm to school activities connect schools and local farms, with the objectives of serving local and healthful foods in school cafeterias or classrooms while supporting small- and medium-sized local and regional farmers.
Does your district participate in any farm to school activities?
Yes 1
No 2
The next questions ask about collaboration on nutrition services activities with other district-level staff and outside organizations.
During the past 12 months, have district-level nutrition services staff worked on school nutrition services activities with district-level…
No district-
level staff
Yes No in this area
Health education staff? 1 2 3
Physical education staff? 1 2 3
Health services staff? 1 2 3
Mental health or social services staff? 1 2 3
During the past 12 months, have district-level nutrition services staff worked on school nutrition services or nutrition activities with staff from…
Yes No
Alliance for a Healthier Generation? 1 2
A health organization, such as the American
Heart
Association or the American Cancer Society? 1 2
A local health department? 1 2
A local mental health or social services agency? 1 2
A local college or university? 1 2
A local business? 1 2
Action for Healthy Kids? 1 2
A food commodity organization, such as
the
Dairy Council or produce growers association? 1 2
A non-governmental organization promoting
farm to
school activities? 1 2
A county cooperative extension office? 1 2
A food policy council? 1 2
A local hospital? 1 2
A local service club, such as the Rotary Club? 1 2
A local youth organization, such as the
Boys
and Girls Clubs? 1 2
A local anti-hunger organization, such as a food bank? 1 2
The next set of questions ask about activities that your district might do to promote school nutrition services among students and their families.
During the past 12 months, has anyone from your district…
Yes No
Made menus available to students? 1 2
Made information available to students on
the
nutrition and caloric content of foods available to
them? 1 2
During the past 12 months, has anyone from your district…
Yes No
Made menus available to families of all students? 1 2
Made information available to families of
all
students on the nutrition and caloric content of
foods
available to students? 1 2
Made information on the school nutrition
services
program available to families of all students? 1 2
During the past 12 months, has anyone from your district provided ideas to schools…
Yes No
On how to involve school nutrition
services staff in
classrooms? 1 2
On how to use the cafeteria as a place
where
students might learn about food safety,
food
preparation, or other nutrition-related topics? 1 2
For nutrition-related special events? 1 2
During the past 12 months, has anyone from your district provided assistance to schools in planning menus for students…
Yes No
With food allergies? 1 2
With chronic health conditions that require
dietary
modification, such as diabetes? 1 2
Who are vegetarians? 1 2
The next questions ask about different aspects of the school nutrition services program that might have been evaluated during the past two years.
During the past two years, has anyone from your district evaluated each of the following aspects of the nutrition services program?
Yes No N/A
Staff compliance with government
regulations
and recommendations,
such
as requirements to serve milk 1 2
The number of students participating
in the nutrition
services program 1 2
The nutritional quality of school meals 1 2
The amount of plate waste 1 2
Professional development or in-service
programs for
nutrition services staff 1 2 3
Food safety procedures 1 2
The Healthy, Hunger-Free Kids Act of 2010 requires school districts participating in federally subsidized child nutrition programs (e.g., National School Lunch Program or School Breakfast Program) to implement, review, and monitor a local wellness policy. The next questions ask about your district’s wellness policy.
Who is responsible for ensuring compliance with your district’s wellness policy?
No single individual is responsible 1
Superintendent 2
Assistant superintendent 3
Other district-level staff member 4
A school administrator 5
A school-level faculty or staff member 6
What groups are involved in the review or revision of your district’s wellness policy? MARK ALL THAT APPLY
Students 1
Families 2
Representatives of the school food authority 3
School board members 4
School administrators 5
Community members 6
None of these 7
District has not
reviewed or revised
wellness policy 8
The last time the implementation of your district’s wellness policy was evaluated or assessed, did you make the results of the evaluation or assessment available to the public, for example by posting it on a Web site?
Yes 1
No 2
District has not
evaluated or assessed the
implementation of the wellness
policy 3
The next questions ask about staffing and professional development for nutrition services staff.
Based on policies adopted by your district, what is the minimum level of education required for a newly hired district food service director (school food authority director)?
High school diploma or GED 1
Associate’s
degree in nutrition or a
related field 2
Undergraduate
degree in nutrition or a
related field 3
Graduate degree
in nutrition or a
related field 4
Specific
education requirements are not
described 5
Based on policies adopted by your district, is a newly hired district food service director (school food authority director) required to have…
Yes No
A Registered Dietitian (RD)
credential
from the American Dietetic Association? 1 2
A School Nutrition Specialist
credential
from the School Nutrition Association? 1 2
A School Nutrition Association
certification?
(Certification could include Level 1, Level
2,
Level 3, or Trainer.) 1 2
Successfully completed a school nutrition
services
training program provided or sponsored by the
state? 1 2
ServSafe or other food safety certification? 1 2
Has your district adopted a policy stating that a newly hired district food service director (school food authority director) will be certified, licensed, or endorsed by the state?
Yes 1
No 2
State does not
certify, license, or
endorse district food service
directors
(school food authority directors) 3
Has your district adopted a policy stating that each school will have someone to oversee or coordinate nutrition services at the school, such as a school food service manager?
Yes 1
No 2
Based on policies adopted by your district, what is the minimum level of education required for a newly hired school food service manager?
High school diploma or GED 1
Associate’s
degree in nutrition or a
related field 2
Undergraduate
degree in nutrition or a
related field 3
Graduate degree
in nutrition or a
related field 4
Specific
education requirements are not
described 5
Based on policies adopted by your district, is a newly hired school food service manager required to have…
Yes No
A Registered Dietitian (RD)
credential from the
American Dietetic Association? 1 2
A School Nutrition Specialist credential
from the
School Nutrition Association? 1 2
A School Nutrition Association
certification?
(Certification could include Level 1, Level
2,
Level 3, or Trainer.) 1 2
Successfully completed a school nutrition
services
training program provided or sponsored by the
state? 1 2
ServSafe or other food safety certification? 1 2
Has your district adopted a policy stating that a newly hired school food service manager will be certified, licensed, or endorsed by the state?
Yes 1
No 2
State does not
certify, license, or endorse
school food service managers 3
The next questions are about professional development, which might include workshops, conferences, continuing education, graduate courses, or any other kind of in-service.
During the past two years, has your district provided funding for or offered professional development to nutrition services staff on…
Yes No
Menu planning for healthful meals? 1 2
Cultural diversity in meal planning? 1 2
Implementing the new USDA rules for school meals? 1 2
Using the cafeteria for nutrition education? 1 2
Program regulations and procedures? 1 2
Selecting and ordering food? 1 2
Healthy food preparation methods? 1 2
Increasing the percentage of students
participating in
school meals? 1 2
Making school meals more appealing? 1 2
Strategies to improve the presentation of
healthful foods
in
the cafeteria? 1 2
Customer service? 1 2
Competitive food
policies to create a healthy food
environment? 1 2
Financial management? 1 2
Personnel management? 1 2
Facility design and layout, including equipment selection? 1 2
Food safety? 1 2
Procedures for handling severe food allergy reactions? 1 2
Food preparation methods for students with
food
allergies? 1 2
Nutrition services for students with special
dietary needs
other than food allergies? 1 2
Using Hazard Analysis and Critical Control
Points
(HACCP)? 1 2
(Q32 continued)
Yes No
Procedures for responding to food recalls? 1 2
Personal safety for nutrition services staff? 1 2
Implementing local wellness policies at the school level? 1 2
Sourcing foods locally or regionally? 1 2
Using produce from school gardens? 1 2
Culinary skills? 1 2
The next section asks about nutrition services and child nutrition requirements and recommendations.
Has your district adopted a policy stating that schools will offer breakfast to students?
Yes, all schools 1
Yes, some
categories of schools, such as
those with a certain percentage
of students
eligible for free or reduced-price meals 2
No 3
Has your district adopted a policy stating that schools will encourage breakfast consumption by allowing students to eat in locations other than the cafeteria, such as the school bus or classroom?
Yes 1
No 2
Does your district require or recommend a minimum amount of time students will be given to eat breakfast once they are seated?
Require 1
Recommend 2
Neither 3
Does your district require or recommend that schools offer students whole grain foods each day for breakfast?
Require 1
Recommend 2
Neither 3
Has your district adopted a policy stating that schools will offer lunch to students?
Yes 1
No 2
Does your district require or recommend that schools offer students a choice between the following items each day for lunch?
Require Recommend Neither
2 or more different entrees or
main
courses 1 2 3
2 or more different non-fried vegetables 1 2 3
2 or more different fruits
or types of
100% fruit juice 1 2 3
Does your district require or recommend that schools offer a vegetarian entrée or main course each day for lunch?
Require 1
Recommend 2
Neither 3
Does your district require or recommend that schools offer students whole grain foods each day for lunch?
Require 1
Recommend 2
Neither 3
Does your district require or recommend that schools offer self-serve salad bars?
Require 1
Recommend 2
Neither 3
Do any schools in your district participate in the National School Lunch Program After‑School Snack Program?
Yes 1
No 2
Do any schools in your district participate in the After-School Supper Program?
Yes 1
No 2
Last summer, did your district sponsor the USDA Summer Food Service Program in any schools in your district?
Yes 1
No 2
The next question asks about the availability of junk foods in schools. Junk foods are foods or beverages that have low nutrient density, that is, they provide calories primarily through fats or added sugars and have minimal amounts of vitamins and minerals.
Does your district require or recommend that schools be prohibited from offering junk foods…
Require Recommend Neither
A la carte
during breakfast or lunch
periods? 1 2 3
At student parties? 1 2 3
In after-school or extended day programs? 1 2 3
At staff meetings? 1 2 3
At meetings attended by students’
family
members? 1 2 3
In school stores, canteens, or snack bars? 1 2 3
In vending machines? 1 2 3
At concession stands? 1 2 3
Does your district require or recommend that schools make fruits or vegetables available to students whenever other food is offered or sold, for example at student parties or in school stores?
Require 1
Recommend 2
Neither 3
Does your district require or recommend that schools make whole grain foods available to students whenever other food is offered or sold, for example at student parties or in school stores?
Require 1
Recommend 2
Neither 3
Does your district require or recommend that schools make healthful beverages such as plain water or low-fat milk available to students whenever other beverages are offered or sold, for example at student parties or in school stores?
Require 1
Recommend 2
Neither 3
Does your district require or recommend that schools restrict the availability of deep fried foods?
Require 1
Recommend 2
Neither 3
Does your district require or recommend that schools restrict the times during the day that soda pop, sports drinks, or fruit drinks that are not 100% juice can be sold in any venue?
Require 1
Recommend 2
Neither 3
Does your district require or recommend that schools restrict the times during the day that junk foods can be sold in any venue?
Require 1
Recommend 2
Neither 3
Does your district require or recommend that schools prohibit junk foods from being sold for fundraising purposes?
Require 1
Recommend 2
Neither 3
Does your district require or recommend that schools prohibit brand-name fast foods, for example Pizza Hut or Taco Bell, from being offered as part of school meals or as a la carte items?
Require 1
Recommend 2
Neither 3
Does your district require or recommend that healthful foods such as fruits, vegetables, and whole grain foods are intentionally priced at a lower cost than junk foods?
Require 1
Recommend 2
Neither 3
Does your district require or recommend that healthful beverages such as plain water or low-fat milk are intentionally priced at a lower cost than sugar-sweetened beverages?
Require 1
Recommend 2
Neither 3
District does
not sell sugar-sweetened
beverages 4
Does your district require schools to report on revenue from sales of food and beverages from school-sponsored fundraisers, vending machines, school stores, or a la carte lines in the school cafeteria?
Yes 1
No 2
Does your district require or recommend that schools have written plans for…
Require Recommend Neither
Implementation of a risk-based
approach to
food safety,
for example
a HACCP-based
program? 1 2 3
Feeding students with severe food
allergies? 1 2 3
Does your district require or recommend that school nutrition services programs have a written plan for feeding students who rely on the school meal programs in the event of an unplanned school dismissal or school closure?
Require 1
Recommend 2
Neither 3
Does your district have a district-level plan for feeding students who rely on the school meal programs in the event of an unplanned school dismissal or school closure?
Yes 1
No 2
Does your district prohibit or actively discourage schools from using food or food coupons as a reward for good behavior or good academic performance?
Yes 1
No 2
Does your district prohibit or actively discourage schools from withholding food or restricting the types of foods available as a form of punishment for students’ behavior?
Yes 1
No 2
Who operates the nutrition services program for the district?
School district 1
Food service management company 2
Other 3
Currently, does someone in your district oversee or coordinate nutrition services, such as a district food service director (school food authority director)?
Yes 1
No 2 That
is the last question.
Thank you very much for taking the
time to complete this questionnaire.
Are you this person?
Yes 1
No 2 That
is the last question.
Thank you very much for taking the
time to complete this questionnaire.
Who do you work for?
MARK ALL
THAT APPLY
School district 1
Food service management company 2
Other 3
The last questions ask about your educational background.
Do you have a culinary arts degree?
Yes 1
No 2
Do you have an undergraduate degree?
Yes 1
No 2 SKIP TO Q73
What did you major in?
MARK
ALL THAT APPLY
Business 1
Education 2
Food service
administration or
management 3
Home economics
or family and
consumer sciences 4
Nutrition or dietetics 5
Other (Specify) 6
Did you have an undergraduate minor?
Yes 1
No 2 SKIP TO Q71
What did you minor in?
MARK
ALL THAT APPLY
Business 1
Education 2
Food service
administration or
management 3
Home economics
or family and
consumer sciences 4
Nutrition or dietetics 5
Other (Specify) 6
Do you have a graduate degree?
Yes 1
No 2 SKIP TO Q73
In what area or areas was
your graduate work?
MARK ALL THAT APPLY
Business 1
Education 2
Food service
administration or
management 3
Home economics
or family and
consumer sciences 4
Nutrition or dietetics 5
Other (Specify) 6
Do you have a School Nutrition Specialist credential from the School Nutrition Association?
Yes 1
No 2
Do you have a School Nutrition Association certification? (Certification could include Level 1, Level 2, Level 3, or Trainer.)
Yes 1
No 2
Do you have a Registered Dietitian (RD) credential from the American Dietetic Association?
Yes 1
No 2
Are you a certified dietary manager?
Yes 1
No 2
Are you a certified food safety manager?
Yes 1
No 2
Do you have any other nutrition services certifications from a state agency or state-level professional group?
Yes (Specify) 1
No 2
Thank you very much for taking the time to participate in this study.
If you would like more information about this study or would like clarification of any questions in this questionnaire, please call 800-287-1815.
Nutrition
Services District Questionnaire—Public Use Version
File Type | application/msword |
Author | Aly O'Hare |
Last Modified By | Alice Roberts |
File Modified | 2012-12-13 |
File Created | 2012-12-13 |