Web-based Assessment Instrument

Attachment B- Web-based Assessment Instrument: Web Version

Form approved
OMB No. 0920-0879
Expiration date: 03/18/2018

Thank you for taking time to complete this assessment! Your answers will help CDC tailor its
school health resources to your work.
We are seeking your input given the role you play in coordinating school-based strategies as
part of Cooperative Agreement 1305 (State Public Health Actions to Prevent and Control
Diabetes, Heart Disease, Obesity, and Associated Risk Factors and Promote School Health)
and/or Cooperative Agreement 1308 (Supporting State and Local Education Agencies to
Reduce Adolescent Sexual Risk Behaviors and Adverse Health Outcomes Associated with
HIV, Other STD, and Teen Pregnancy). This data collection is intended for State Health
Department or Department of Education/Public Instructions staff only.

Completing this online assessment is voluntary and takes approximately 25 minutes.
Please respond to the questions from your individual perspective and not that of your
department. CDC will not publish or share any identifying information about your individual
responses.
Please complete the assessment by [ ---- ]

CDC estimates the average public reporting burden for this collection of information as 25 minutes per response, including the time for
reviewing instructions, searching existing data/information sources, gathering and maintaining the data/information 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 burden to CDC/ATSDR Information Collection
Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0879).

DEMOGRAPHICS

1. 1. What state do you work in?
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee

Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

2. 2. Where do you work?
Department of Health
Department of Education/Department of Public Instruction
I do not work at either of the options listed above

DEMOGRAPHICS

3. 3. What is your current job title?

4. 4. Which of the following are included among your job responsibilities?
Check all that apply.
Selecting school health tools and resources that your agency supports
Promoting awareness of school health tools and resources among district
and local level school staff
Training staff and/or district level staff on how to implement school health
tools and resources
Training colleagues at state agencies on school health curriculum, tools
and resources

5. 5. How long have you worked in your current position?
Less than 1 year
1 year to <2 years
2 years to <5 years
5 years to <10 years
10 or more years

6. 1. How long have you worked in your agency?
Less than 1 year
1 year to <2 years
2 years to <5 years
5 years to <10 years
10 or more years

7. 7. How long have you worked in the school health field?
Less than 1 year
1 year to <2 years
2 years to <5 years
5 years to <10 years
10 or more years

DEMOGRAPHICS

8. 8. What degrees do you hold? Check all that apply.
BS, BA
MS, MSc, MA
MPH or MSPH
MD or DO
PhD, EdD, DrPH, or ScD
Other (Please Specify)

9. 9. What CDC funded school health program do you work on?
I work on 1305.
I work on 1308.
I work on both.

DEMOGRAPHICS

10. 10. For your state’s work on Cooperative Agreement 1305/State Public
Health Actions, which state agency is the main point of contact for the
local education agencies (LEAs)? Check all that apply.
Department of Health
Department of Education/Department of Public Instruction

11. 11. Is your state’s 1305 cooperative agreement program funded at the
basic level or at the enhanced level?
Basic
Enhanced

12. 12. How many full time equivalents (FTEs) focused on school health in
your agency are supported through 1305 funding? Please report total
FTE regardless of number of individuals involved.
Less than 0.5 FTE
0.5 FTE to 1.0 FTE
1.1 FTE to 1.5 FTE
1.6 FTE to 2.0 FTE
More than 2.0 FTE

DEMOGRAPHICS

13. 13. How many full time equivalents (FTEs) focused on school health in
your agency are supported through 1308 funding? Please report total
FTE regardless of number of individuals involved.
Less than 0.5 FTE
0.5 FTE to 1.0 FTE
1.1 FTE to 1.5 FTE
1.6 FTE to 2.0 FTE
More than 2.0 FTE

FACTORS THAT INFLUENCE SCHOOL HEALTH ADOPTION DECISIONS

14. 14. Does your state have a strategic plan or framework for school
health?
Yes
No

15. 15. Does your state have a course of study, curriculum framework or
scope and sequence for health education in schools?
Yes
No

16. 16. Considering all of your state’s actions in school health, what level
of priority would you assign to each of the following at your state
agency?
Very
High
Priority
Increasing school capacity to provide
healthy foods and beverages
Increasing school capacity to
implement high quality health
education
Increasing school capacity to provide
quality physical education and
physical activity
Increasing parent engagement in
school health

High
Priority

Medium
Low
Priority Priority

Very
Low
Priority

17. 17. How would you describe your role in the decisions your state
agency makes on school health strategies and policies?
I have a lot of influence on these decisions
I have a moderate amount of influence on these decisions
I have little influence on these decisions
I have no influence on these decisions

FACTORS THAT INFLUENCE SCHOOL HEALTH ADOPTION DECISIONS

18. 18. Have you ever heard of the following school health tools and
resources? Check all that apply.
Comprehensive School Physical Activity Program (CSPAP)
The Health Education Curriculum Analysis Tool (HECAT)
Parents for Healthy Schools (P4HS)
School Health Guidelines to Promote Healthy Eating and Physical
Activity (Guidelines)

19. 19. In the last 12 months has your state engaged in marketing and
communication activities to promote awareness of any of the following
school health tools and resources among schools or school districts?
Check all that apply.
Comprehensive School Physical Activity Program (CSPAP)
The Health Education Curriculum Analysis Tool (HECAT)
Parents for Healthy Schools (P4HS)
School Health Guidelines to Promote Healthy Eating and Physical
Activity (Guidelines)

20. 20. In the last 12 months has your state engaged in training and/or
technical assistance activities to promote use or implementation of any
of the following CDC school health tools and resources among schools
or school districts? Check all that apply.
Comprehensive School Physical Activity Program (CSPAP)
The Health Education Curriculum Analysis Tool (HECAT)
Parents for Healthy Schools (P4HS)
School Health Guidelines to Promote Healthy Eating and Physical
Activity (Guidelines)

FACTORS THAT INFLUENCE SCHOOL HEALTH ADOPTION DECISIONS

21. 21. Please indicate which of the following factors influenced your
state’s decision whether or not to promote awareness or use of the CDC
school health tools and resources shown in the table below. Check all
that apply for each tool.

CSPAP = Comprehensive School Physical Activity Program Guide
HECAT = The Health Education Curriculum Analysis Tool (HECAT)
P4HS = Parents for Healthy Schools
Guildelines = School Health Guidelines to Promote Healthy Eating
and Physical Activity

CSPAP

HECAT

Guide
lines

P4HS

a) The CDC recommended the tool.
b) A colleague or another professional
recommended the tool.
c) We had adequate budget, staff, and time to
promote awareness and use of the tool.
d) The tool can help districts improve on current
practice in this topic area.
e) The tool can support district and local level
goals.
f) We like the way the tool is structured and
written.
g) Districts and/or schools can use the tool
without having to make big changes to their
infrastructures.
h) The tool’s recommendations and strategies
are based on research findings.

THE COMPREHENSIVE SCHOOL PHYSICAL ACTIVITY PROGRAM (CSPAP) GUIDE
MODULE

22. 1. Which of the following BEST describes your knowledge about the
CSPAP Guide?
Excellent I am fully familiar with the content and features of the guide.
Very good. I am very familiar with the content and features of the guide,
although I could still improve my understanding.
Good. I understand the guide’s general content and features, but not in
detail.
Limited. I know little about the guide’s content and features.

23. 2. In what ways have you heard about or received information on the
CSPAP Guide? Check all that apply.
CDC website
A website other than CDC
Email from CDC
Email/newsletter from a professional organization
Training by a webinar or in person
Colleague at a state agency
School administrator or school staff
Other - Please Describe

24. 3. Which of the following BEST describes your confidence in your
ability to provide training on the CSPAP Guide?
Excellent. I feel highly confident that I could lead training or technical
assistance to others on its use/implementation.
Very good. I feel fairly confident that I could provide training or technical
assistance to others on its use/implementation.
Good. I am not very confident that I could provide training or techinal
assistance to others on its use/implementation.
Limited. I would not be able to provide training or technical assistance ot
others on its use/implementation.

THE COMPREHENSIVE SCHOOL PHYSICAL ACTIVITY PROGRAM (CSPAP) GUIDE
MODULE

25. 4. Have you ever participated in Training of Trainers for the CSPAP
Guide?
Yes
No

THE COMPREHENSIVE SCHOOL PHYSICAL ACTIVITY PROGRAM (CSPAP) GUIDE
MODULE

26. 5. Who led the Training of Trainers you participated in?
CDC
Non-governmental organization
Other entity

THE COMPREHENSIVE SCHOOL PHYSICAL ACTIVITY PROGRAM (CSPAP) GUIDE
MODULE

27. 6. In the past 12 months, have you (your agency) promoted awareness
of the CSPAP Guide to district/school-level staff in your target/priority
districts through any of the following methods? Check all that apply.
We have not carried out any marketing or promotion efforts for CSPAP in
the past 12 months.
Listserve
Newsletters (print or electronic)
Presentations
Webinars
Informal conversations
Other - Please Describe

28. 7. Have you or others from your agency ever provided training or
technical assistance on the use/implementation of the CSPAP Guide?
Check all that apply.
No
Yes, to colleagues from a state, tribal, or territorial health or education
department in my state.
Yes, to colleagues from a state, tribal, or territorial health or education
department in a different state.
Yes, to district level school administrator(s).
Yes, to district level staff, such as food service, physical or health
education staff.
Yes, to school-level administrator(s).
Yes, to local school staff, such as food service, physical or health
education staff.

THE COMPREHENSIVE SCHOOL PHYSICAL ACTIVITY PROGRAM (CSPAP) GUIDE
MODULE

29. 8. In the past 12 months, how many times have you or others from your
agency provided training on how to use the CSPAP Guide to state,
district, or school staff? If you or your agency provided the same
training on multiple dates, please count each occurrence.
1 time
2-3 times
4-5 times
6 or more times

30. 9. In the past 12 months, how many times have you or others from your
agency provided technical assistance to state, district, or school staff
such as a phone call, meeting, or email exchange on the use of the
CSPAP Guide?
1 time
2-3 times
4-5 times
6 or more times

THE COMPREHENSIVE SCHOOL PHYSICAL ACTIVITY PROGRAM (CSPAP) GUIDE
MODULE

31. 10. In the past 12 months, has your agency been able to stay on your
plan's schedule to promote awareness or provide training and technical
assistance for the CSPAP Guide?
We are on track with all of our plans for promoting awareness or providing
training/technical assistance for the CSPAP Guide.
We are on track with some of our plans and behind schedule on others.
We are behind schedule on all of our plans, but still plan to promote
awareness or provide training/technical assistance this school year.
We are behind schedule on all of our plans, and plan to promote
awareness or provide training/technical assistance next school year.
We are far behind schedule, and plan to promote awareness or provide
training/technical assistance after the next school year.

THE COMPREHENSIVE SCHOOL PHYSICAL ACTIVITY PROGRAM (CSPAP) GUIDE
MODULE

32. 11. Which of the following factors have caused delays? Check all that
apply.
Competing priorities related to school health
Competing priorities unrelated to school health
Staff turnover
Staff time available to work on school health
Budget capacity other than staffing
Other - Please Describe

THE COMPREHENSIVE SCHOOL PHYSICAL ACTIVITY PROGRAM (CSPAP) GUIDE
MODULE

33. 12. Please tell us about CSPAP Guide support activities that you and
other key staff at your agency have done or plan to do.
We have
already
done this
a) Promote awareness of the CSPAP Guide to
districts, colleagues, or community partners.
b) Coordinate or offer trainings on implementing
the CSPAP Guide for districts and/or schools.
c) Solicit feedback from districts and/or schools
who have implemented the CSPAP Guide.
d) Assist districts and/or schools in ongoing use
of CSPAP.
e) Provide districts and/or schools with updates
on the CSPAP Guide including modifications or
new support materials.

We plan to
do this in
the future

We do
not plan
to do this

34. 13. Think about the overall concept and content of the CSPAP Guide
and share your opinions on the following statements.
Strongly
Agree
a) The CSPAP Guide covers all
the content that school districts
and schools need on this topic.
b) The CSPAP Guide includes
accurate content.
c) The CSPAP Guide clearly
articulates best practices.
d) The CSPAP Guide helps
school districts and/or schools to
identify action items and
improvement plans.
e) Actions based on the CSPAP
Guide can be implemented by
schools and school districts in our
state.
f) The CSPAP Guide is easily
adaptable to various types of
school district and/or school
settings.
g) Using the CSPAP Guide helps
districts and/or schools think
through important issues that they
might otherwise not think about.
h) Using the CSPAP Guide helps
school districts and/or schools
engage staff, relevant
stakeholders, and/or the
community in improving school
health.
i) I would recommend the CSPAP
Guide to other colleagues,
agencies, and districts.

Agree

Neutral

Disagree

Strongly
Disagree

35. 14. In your experience, what are common barriers at the district or
school level to implementing a comprehensive school physical activity
program as described in the CSPAP Guide? Check all that apply.
Competing priorities related to school health
Competing priorities unrelated to school health
Staff turnover
Staff time available to work on school health
Budget capacity other than staffing
Other - Please Describe

36. 15. Do you have suggestions for improving the CSPAP Guide?

THE COMPREHENSIVE SCHOOL PHYSICAL ACTIVITY PROGRAM (CSPAP) GUIDE
MODULE

37. 16. Do you have suggestions for improving or developing other
tools/resources to help schools address nutrition, physical activity,
health education and parent engagement?

38. 17. Other than the CDC School Health tools reviewed in this survey,
what other school health tools/resources do you use to help with
developing, implementing, and/or evaluating school-based efforts
related to: physical activity / health education / nutrition / engaging
parents in school health?

THE HEALTH EDUCATION CURRICULUM ANALYSIS TOOL (HECAT) MODULE

39. 1. Which of the following BEST describes your knowledge about the
HECAT?
Excellent I am fully familiar with the content and features of the resource.
Very good. I am very familiar with the content and features of the resource,
although I could still improve my understanding.
Good. I understand the resource’s general content and features, but not in
detail.
Limited. I know little about the resource’s content and features.

40. 2. In what ways have you heard about or received information on the
HECAT? Check all that apply.
CDC website
A website other than CDC
Email from CDC
Email/newsletter from a professional organization
Training by a webinar or in person
Colleague at a state agency
School administrator or school staff
Other - Please Describe

41. 3. Which of the following BEST describes your confidence in your
ability to provide training on the HECAT?
Excellent. I feel highly confident that I could lead training or technical
assistance to others on its use/implementation.
Very good. I feel fairly confident that I could provide training or technical
assistance to others on its use/implementation.
Good. I am not very confident that I could provide training or technical
assistance to others on its use/implementation.
Limited. I would not be able to provide training or technical assistance to
others on its use/implementation.

THE HEALTH EDUCATION CURRICULUM ANALYSIS TOOL (HECAT) MODULE

42. 4. Have you ever participated in Training of Trainers for the HECAT?
Yes
No

THE HEALTH EDUCATION CURRICULUM ANALYSIS TOOL (HECAT) MODULE

43. 5. Who led the Training of Trainers you participated in?
CDC
Non-governmental organization
Other entity

44. 6. In the past 12 months, have you (your agency) promoted awareness
of the HECAT to district/school-level staff in your target/priority districts
through any of the following methods? Check all that apply.
We have not carried out any marketing or promotion efforts for CSPAP in
the past 12 months
Listserve
Newsletters (print or electronic)
Presentations
Webinars
Informal conversations
Other - Please Describe

45. 7. Have you or others from your agency ever provided training or
technical assistance on the use/implementation of the HECAT? Check
all that apply.
No
Yes, to colleagues from a state, tribal, or territorial health or education
department in my state
Yes, to colleagues from a state, tribal, or territorial health or education
department in a different state
Yes, to district level school administrator(s)
Yes, to district level staff, such as food service, physical or health
education staff
Yes, to school-level administrator(s)
Yes, to local school staff, such as food service, physical or health
education staff

THE HEALTH EDUCATION CURRICULUM ANALYSIS TOOL (HECAT) MODULE

46. 8. In the past 12 months, how many times have you or others from your
agency provided training on how to use the HECAT to state, district, or
school staff? If you or your agency provided the same training on
multiple dates, please count each occurrence.
1 time
2-3 times
4-5 times
6 or more times

47. 9. In the past 12 months, how many times have you or others from your
agency provided technical assistance to state, district, or school staff
such as a phone call, meeting, or email exchange on the use of the
HECAT?
1 time
2-3 times
4-5 times
6 or more times

THE HEALTH EDUCATION CURRICULUM ANALYSIS TOOL (HECAT) MODULE

48. 10. In the past 12 months, has your agency been able to stay on your
plan’s schedule to promote awareness or provide training and technical
assistance for the HECAT?
We are on track with all of our plans for promoting awareness or providing
training/technical assistance for the HECAT.
We are on track with some of our plans and behind schedule on others.
We are behind schedule on all of our plans, but still plan to promote
awareness or provide training/technical assistance this school year.
We are behind schedule on all of our plans, and plan to promote
awareness or provide training/technical assistance next school year.
We are far behind schedule, and plan to promote awareness or provide
training/technical assistance after the next school year.

THE HEALTH EDUCATION CURRICULUM ANALYSIS TOOL (HECAT) MODULE

49. 11. Which of the following factors have caused delays? Check all that
apply.
Competing priorities related to school health
Competing priorities unrelated to school health
Staff turnover
Staff time available to work on school health
Budget capacity other than staffing
Other - Please Describe

THE HEALTH EDUCATION CURRICULUM ANALYSIS TOOL (HECAT) MODULE

50. 12. Please tell us about HECAT support activities that you and other
key staff at your agency have done or plan to do.
We have
already
done this
a) Promote awareness of the HECAT to
districts, colleagues, or community partners.
b) Coordinate or offer trainings on
implementing the HECAT for districts and/or
schools.
c) Solicit feedback from districts and/or schools
who have implemented the HECAT.
d) Assist districts and/or schools in ongoing
use of the HECAT.
e) Provide districts and/or schools with
updates on the HECAT including modifications
or new support materials.

We plan to
do this in
the future

We do
not plan
to do this

51. 13. Think about the overall concept and content of the HECAT and
share your opinions on the following statements.
Strongly
Agree
a) The HECAT covers all the
content that school districts and
schools need on this topic.
b) The HECAT includes accurate
content.
c) The HECAT clearly articulates
best practices.
d) The HECAT helps school
districts and/or schools to identify
healthy behavior outcomes and
expectations to improve their
health education curriculum.
e) Tools provided in the HECAT
can be used by schools and
school districts in our state.
f) The HECAT can be adapted for
various types of school district
and/or school settings.
g) Using the HECAT helps
districts and/or schools think
through important curriculum and
instruction issues that they might
otherwise not think about.
h) Using the HECAT helps school
districts and/or schools engage
staff, relevant stakeholders,
and/or the community in
improving school health
education.
i) I would recommend the HECAT
to other colleagues, agencies,
and districts.

Agree

Neutral

Disagree

Strongly
Disagree

52. 14. In your experience, what are common barriers at the district or local
level to implementing a comprehensive school physical activity
program as described in the HECAT? Check all that apply.
Competing priorities related to school health
Competing priorities unrelated to school health
Staff turnover
Staff time available to work on school health
Budget capacity other than staffing
Other - Please Describe

53. 15. Do you have suggestions for improving the Health Education
Curriculum Analysis Tool?

THE HEALTH EDUCATION CURRICULUM ANALYSIS TOOL (HECAT) MODULE

54. 16. Do you have suggestions for improving or developing other
tools/resources to help schools address nutrition, physical activity,
health education and parent engagement?

55. 17. Other than the CDC School Health tools reviewed in this survey,
what other school health tools/resources do you use to help with
developing, implementing, and/or evaluating school-based efforts
related to: physical activity / health education / nutrition / engaging
parents in school health?

PARENTS FOR HEALTHY SCHOOLS (P4HS) MODULE

56. 1. Which of the following BEST describes your knowledge about
P4HS?
Excellent I am fully familiar with the content and features of the guide.
Very good. I am very familiar with the content and features of the guide,
although I could still improve my understanding.
Good. I understand the guide’s general content and features, but not in
detail.
Limited. I know little about the guide’s content and features.

57. 2. In what ways have you heard about or received information on
P4HS? Check all that apply.
CDC website
A website other than CDC
Email from CDC
Email/newsletter from a professional organization
Training by a webinar or in person
Colleague at a state agency
School administrator or school staff
Other - Please Describe

58. 3. Which of the following BEST describes your confidence in your
ability to provide training on P4HS?
Excellent. I feel highly confident that I could lead training or technical
assistance to others on its use/implementation.
Very good. I feel fairly confident that I could provide training or technical
assistance to others on its use/implementation.
Good. I am not very confident that I could provide training or technical
assistance to others on its use/implementation.
Limited. I would not be able to provide training or technical assistance to
others on its use/implementation.

PARENTS FOR HEALTHY SCHOOLS (P4HS) MODULE

59. 4. Have you participated in Training of Trainers for P4HS?
Yes
No

PARENTS FOR HEALTHY SCHOOLS (P4HS) MODULE

60. 5. Who led the Training of Trainers you participated in?
CDC
Non-governmental organization
Other entity

PARENTS FOR HEALTHY SCHOOLS (P4HS) MODULE

61. 6. In the past 12 months, have you (your agency) promoted awareness
of P4HS to district/school-level staff in your target/priority districts
through any of the following methods? Check all that apply.
We have not carried out any marketing or promotion efforts for P4HS in
the past 12 months
Listserve
Newsletters (print or electronic)
Presentations
Webinars
Informal conversations
Other - Please Describe

62. 7. Have you or others from your agency ever provided training or
technical assistance on the use/implementation of P4HS? Check all that
apply.
No
Yes, to colleagues from a state, tribal, or territorial health or education
department in my state
Yes, to colleagues from a state, tribal, or territorial health or education
department in a different state
Yes, to district level school administrator(s)
Yes, to district level staff, such as food service, physical or health
education staff
Yes, to school-level administrator(s)
Yes, to local school staff, such as food service, physical or health
education staff

PARENTS FOR HEALTHY SCHOOLS (P4HS) MODULE

63. 8. In the past 12 months, how many times have you or others from your
agency ever provided training on how to use P4HS to state, district, or
school staff? If you or your agency provided the same training on
multiple dates, please count each occurrence.
1 time
2-3 times
4-5 times
6 or more times

64. 9. In the past 12 months, how many times have you or others from your
agency provided technical assistance to state, district, or school staff
such as a phone call, meeting, or email exchange on the use of P4HS?
1 time
2-3 times
4-5 times
6 or more times

PARENTS FOR HEALTHY SCHOOLS (P4HS) MODULE

65. 10. In the past 12 months, has your agency been able to stay on your
plan’s schedule to promote awareness or provide training and technical
assistance for P4HS?
We are on track with all of our plans for promoting awareness or providing
training/technical assistance for P4HS.
We are on track with some of our plans and behind schedule on others.
We are behind schedule on all of our plans, but still plan to promote
awareness or provide training/technical assistance this school year.
We are behind schedule on all of our plans, and plan to promote
awareness or provide training/technical assistance after the next school
year.
We are far behind schedule, and plan to promote awareness or provide
training/technical assistance after the next school year.

PARENTS FOR HEALTHY SCHOOLS (P4HS) MODULE

66. 11. Which of the following factors have caused delays? Check all that
apply.
Competing priorities related to school health
Competing priorities unrelated to school health
Staff turnover
Staff time available to work on school health
Budget capacity other than staffing
Other - Please Describe

PARENTS FOR HEALTHY SCHOOLS (P4HS) MODULE

67. 12. Please tell us about P4HS support activities that you and other key
staff at your agency have done or plan to do.
We have
already
done this
a) Promote awareness of P4HS to districts,
colleagues, or community partners.
b) Coordinate or offer trainings on
implementing P4HS for districts and/or
schools.
c) Solicit feedback from districts and/or
schools who have implemented P4HS.
d) Assist districts and/or schools in ongoing
use of P4HS.
e) Provide districts and/or schools with
updates on P4HS including modifications or
new support materials.

We plan to
do this in
the future

We do
not plan
to do this

68. 13. Think about the overall concept and content of P4HS and share
your opinions on the following statements.
Strongly
Agree
a) P4HS covers all the content
that school districts and schools
need on this topic.
b) P4HS includes accurate
content.
c) P4HS clearly articulates best
practices.
d) P4HS helps school districts
and/or schools to identify action
items and improvement plans.
e) Actions based on P4HS can be
implemented by schools and
school districts in our state.
f) P4HS is easily adaptable to
various types of school district
and/or school settings.
g) Using P4HS helps districts
and/or schools think through
important issues that they might
otherwise not think about.
h) Using P4HS helps school
districts and/or schools engage
staff, relevant stakeholders,
and/or the community in
improving school health.
i) I would recommend P4HS to
other colleagues, agencies, and
districts.

Agree

Neutral

Disagree

Strongly
Disagree

69. 14. In your experience, what are common barriers at the district or local
level to providing parents with education, resources, and suggestions
on healthy school environments as described in P4HS? Check all that
apply.
Competing priorities related to school health
Competing priorities unrelated to school health
Staff turnover
Staff time available to work on school health
Budget capacity other than staffing
Other - Please Describe

70. 15. Do you have suggestions for improving the Parents for Healthy
Schools Guide?

PARENTS FOR HEALTHY SCHOOLS (P4HS) MODULE

71. 16. Do you have suggestions for improving or developing other
tools/resources to help schools address nutrition, physical activity,
health education and parent engagement?

72. 17. Other than the CDC School Health tools reviewed in this survey,
what other school health tools/resources do you use to help with
developing, implementing, and/or evaluating school-based efforts
related to: physical activity / health education / nutrition / engaging
parents in school health?

SCHOOL HEALTH GUIDELINES TO PROMOTE HEALTHY EATING AND PHYSICAL
ACTIVITY (Guidelines) MODULE

73. 1. Which of the following BEST describes your knowledge about the
Guidelines?
Excellent I am fully familiar with the content and features of the
Guidelines.
Very good. I am very familiar with the content and features of the
Guidelines, although I could still improve my understanding.
Good. I understand the Guidelines general content and features, but not in
detail.
Limited. I know little about theGuidelines content and features.

74. 2. In what ways have you heard about or received information on the
Guidelines? Check all that apply.
CDC website
A website other than CDC
Email from CDC
Email/newsletter from a professional organization
Training by a webinar or in person
Colleague at a state agency
School administrator or school staff
Other - Please Describe

75. 3. Which of the following BEST describes your confidence in your
ability to provide training on the Guidelines?
Excellent. I feel highly confident that I could lead training or technical
assistance to others on its use/implementation.
Very good. I feel fairly confident that I could provide training or technical
assistance to others on its use/implementation.
Good. I am not very confident that I could provide training or technical
assistance to others on its use/implementation.
Limited. I would not be able to provide training or technical assistance to
others on its use/implementation.

SCHOOL HEALTH GUIDELINES TO PROMOTE HEALTHY EATING AND PHYSICAL
ACTIVITY (Guidelines) MODULE

76. 4. Have you ever participated in Training of Trainers (TOT) for the
Guidelines?
Yes
No

SCHOOL HEALTH GUIDELINES TO PROMOTE HEALTHY EATING AND PHYSICAL
ACTIVITY (Guidelines) MODULE

77. 5. Who led the Training of Trainers you participated in?
CDC
Non-governmental organization
Other entity

SCHOOL HEALTH GUIDELINES TO PROMOTE HEALTHY EATING AND PHYSICAL
ACTIVITY (Guidelines) MODULE

78. 6. In the past 12 months, have you (your agency) promoted awareness
of the Guidelines to district/school-level staff in your target/priority
districts through any of the following methods? Check all that apply.
We have not carried out any marketing or promotion efforts for the
Guidelines in the past 12 months
Listserve
Newsletters (print or electronic)
Presentations
Webinars
Informal conversations
Other - Please Describe

79. 7. Have you or others from your agency ever provided training or
technical assistance on the use/implementation of the Guidelines?
Check all that apply.
No
Yes, to colleagues from a state, tribal, or territorial health or education
department in my state
Yes, to colleagues from a state, tribal, or territorial health or education
department in a different state
Yes, to district level school administrator(s)
Yes, to district level staff, such as food service, physical or health
education staff
Yes, to school-level administrator(s)
Yes, to local school staff, such as food service, physical or health
education staff

SCHOOL HEALTH GUIDELINES TO PROMOTE HEALTHY EATING AND PHYSICAL
ACTIVITY (Guidelines) MODULE

80. 8. In the past 12 months, how many times have you or others from your
agency provided training on how to use the Guidelines to state, district,
or school staff? If you or your agency provided the same training on
multiple dates, please count each occurrence.
1 time
2-3 times
4-5 times
6 or more times

81. 9. In the past 12 months, how many times have you or others from your
agency provided technical assistance to state, district, or school staff
such as a phone call, meeting, or email exchange on the use of the
Guidelines?
1 time
2-3 times
4-5 times
6 or more times

SCHOOL HEALTH GUIDELINES TO PROMOTE HEALTHY EATING AND PHYSICAL
ACTIVITY (Guidelines) MODULE

82. 10. In the past 12 months, has your agency been able to stay on your
plan’s schedule to promote awareness or provide training and technical
assistance for the Guidelines?
We are on track with all of our plans for promoting awareness or providing
training/technical assistance for the Guidelines
We are on track with some of our plans and behind schedule on others.
We are behind schedule on all of our plans, but still plan to promote
awareness or provide training/technical assistance this school year.
We are behind schedule on all of our plans, and plan to promote
awareness or provide training/technical assistance next school year.
We are far behind schedule, and plan to promote awareness or provide
training/technical assistance after the next school year.

SCHOOL HEALTH GUIDELINES TO PROMOTE HEALTHY EATING AND PHYSICAL
ACTIVITY (Guidelines) MODULE

83. 11. Which of the following factors have caused delays? Check all that
apply.
Competing priorities related to school health
Competing priorities unrelated to school health
Staff turnover
Staff time available to work on school health
Budget capacity other than staffing
Other - Please Describe

SCHOOL HEALTH GUIDELINES TO PROMOTE HEALTHY EATING AND PHYSICAL
ACTIVITY (Guidelines) MODULE

84. 12. Please tell us about Guidelines support activities that you and other
key staff at your agency have done or plan to do.
We have
already
done this
a) Promote awareness of the Guidelines to
districts, colleagues, or community partners.
b) Coordinate or offer trainings on
implementing the Guidelines for districts and/or
schools.
c) Solicit feedback from districts and/or schools
who have implemented the Guidelines.
d) Assist districts and/or schools in ongoing use
of the Guidelines.
e) Provide districts and/or schools with updates
on the Guidelines including modifications or
new support materials.

We plan to
do this in
the future

We do
not plan
to do this

85. 13. Think about the overall concept and content of the Guidelines and
share your opinions on the following statements.
Strongly
Agree
a) The Guidelines cover all the
content that school districts and
schools need on this topic.
b) The Guidelines include
accurate content.
c) The Guidelines clearly
articulate best practices.
d) The Guidelines help school
districts and/or schools to identify
action items and improvement
plans.
e) Actions based on the
Guidelines can be implemented
by schools and school districts in
our state.
f) The Guidelines are easily
adaptable to various types of
school district and/or school
settings.
g) Using the Guidelines helps
districts and/or schools think
through important issues that they
might otherwise not think about.
h) Using the Guidelines helps
school districts and/or schools
engage staff, relevant
stakeholders, and/or the
community in improving school
health.
i) I would recommend the
Guidelines to other colleagues,
agencies, and districts.

Agree

Neutral

Disagree

Strongly
Disagree

86. 14. In your experience, what are common barriers at the district or local
level to implementing a comprehensive school physical activity
program as described in the Guidelines? Check all that apply.
Competing priorities related to school health
Competing priorities unrelated to school health
Staff turnover
Staff time available to work on school health
Budget capacity other than staffing
Other - Please Describe

87. 15. Do you have suggestions for improving the School Health
Guidelines to Promote Healthy Eating and Physical Activity?

SCHOOL HEALTH GUIDELINES TO PROMOTE HEALTHY EATING AND PHYSICAL
ACTIVITY (Guidelines) MODULE

88. 16. Do you have suggestions for improving or developing other
tools/resources to help schools address nutrition, physical activity,
health education and parent engagement?

89. 17. Other than the CDC School Health tools reviewed in this survey,
what other school health tools/resources do you use to help with
developing, implementing, and/or evaluating school-based efforts
related to: physical activity / health education / nutrition / engaging
parents in school health?

Quality Improvement and Wellness Policies

In order to continue to expand our ability to support youth-serving organizations in meeting
healthy eating and physical activity standards, the Alliance hopes to learn more about your
program's work in two key areas important to developing quality afterschool or summer
programs. We greatly appreciate you response to the following questions

Thank You!

Thank you for your time and feedback!
If you’d like to learn more about CDC School Health resources, please visit:
http://www.cdc.gov/healthyyouth/schoolhealth/index.htm