Form Approved
OMB No.: XXXX-XXXX
Expiration Date: xx/xx/xxxx
Community Based Survey of Supports for Healthy Eating and Active Living
Web Questionnaire Specifications
Public Reporting burden of 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 NW, MS D-74, Atlanta, GA 30333; ATTN: PRA 0920-xxxx). Do not return the completed form to this address.
Web Login Screen:
Header: CDC Logo, Survey title: Community Based Survey of Supports for Healthy Eating and Active Living (CBS HEAL), OMB Approval information: Form Approved OMB No: XXXX-XXXX Expiration Date: xx/xx/xxxx
TEXT:
Welcome to the Community Based Survey of Supports for Healthy Eating and Active Living
(CBS HEAL)!
You have been invited to take part in CBS HEAL, a study sponsored by the Centers for Disease Control and Prevention (CDC). The national study seeks to gather information on the existence of certain policies, standards, and practices enacted or implemented by local governments that promote more healthful eating and physical activity for residents.
Please enter your Personal Identification Number in the space below and hit ‘Continue’ to access the survey.
_________
CONTINUE
Footer: OMB Burden Statement, NORC Contact Info
Public Reporting burden of 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 NW, MS D-74, Atlanta, GA 30333; ATTN: PRA 0920-xxxx). Do not return the completed form to this address.
If you have any questions, please contact NORC at the University of Chicago, toll free at 800-239-5036 or vial e-mail ([email protected]).
Screen Two: Consent
CONSENT
On behalf of the Centers of Disease Control and Prevention (CDC), NORC at the University of Chicago (NORC) is conducting the Community-Based Survey for Healthy Eating and Active Living (CBS HEAL). The national study seeks to gather information on the existence of certain policies, standards, and practices enacted or implemented by local governments that promote more healthful eating and physical activity for residents.
Your municipality was selected randomly to participate and you were identified as the person best able to address questions about the policies enacted by your local government. The survey includes questions on the communitywide planning documents of local government, policies that improve the built environment to support physical activity, and policies that support increasing access to healthful foods.
The survey will take approximately 30 minutes to complete. Your participation is voluntary. You may choose not to answer any of the questions or you may choose to not participate without penalty. There are no expected risks to participating in the survey.
CDC will use this information to evaluate the extent to which local communities have in place policy and environmental supports for healthy eating and active living consistent with recommendations from expert groups. In addition, communities, such as yours, may use the data collected to see how they compare with other communities nationally or with communities of a similar geography, population size, and urban status.
By clicking ‘CONTINUE’ below, you acknowledge that you have read the above consent statement and agree to participate.
CONTINUE
Screen Three: Survey Instructions
Thank you for agreeing to participate in this study. The survey is divided into 7 sections. All questions are non-mandatory, so feel free to leave any blank you are not comfortable answering.
It is important to the accuracy of this survey though that if you have difficulties answering a section completely, to please click the "NOMINATE" button at the top of the screen. Clicking this button will allow you to reach out through email to someone else you know who you feel could answer this section on your behalf. You will be given the opportunity to customize the email text to your nominee if you'd like to instruct them on the specific sections you need their help with. Once your email is sent, you will exit the current section and be able to navigate to the next if one is available.
Please
use the “NEXT” and “BACK” buttons to navigate
within the survey. Click the "EXIT" button if you wish to
exit the survey at any time while any sections are still in progress.
Once the final incomplete / unstarted section is answered, the survey
will end.
Please note, sections marked as "COMPLETE"
can only be re-entered by those who completed them, but nominees you
provide with a link will be able to answer any incomplete / unstarted
sections.
Screen Four: Definitions
For the purposes of this survey, please refer to the definitions below for the following terms.
Jurisdiction: The geographic territory that is subject to a municipal government
Local government: The administrative and legal body that oversees a particular jurisdiction
Community: The people who live within a particular jurisdiction
New Section/Resume
Please
select the section below you'd like you'd like to complete.
Entering
sections marked "COMPLETE" will reset them to "IN
PROGRESS", but your previous answers will be retained. As
changing your answers in sections previously marked "COMPLETE"
may cause different questions to be asked, please navigate to the
very end of the section again so it is reclassified as "COMPLETE"
once again.
All questions are non-mandatory, so feel free to leave any blank you are not comfortable answering.
Please
use the “NEXT” and “BACK” buttons to navigate
within the survey. Click the "EXIT" button if you wish to
exit the survey at any time while any sections are still in progress.
Once the final incomplete / unstarted section is answered, the survey
will end.
Please note, sections marked as "COMPLETE"
can only be re-entered by those who completed them, but nominees you
provide with a link will be able to answer any incomplete / unstarted
sections.
Delegation Screen (to appear when “NOMINATE” button is selected)
Screen 1
Please fill out the below information for your nominee. A 10 digit phone number is not required, but recommended.
Title: ________________
Full Name: _________________
Business Email Address: ________________
Business Phone Number: ________________
Screen 2
Please enter a message you would like to send to [NAME] so they know it is from you and what section(s) you would like them to complete.
[OPEN TEXT BOX]
Email text sent to nominated individuals:
Greetings [NOMINEE],
NORC at the University of Chicago is conducting the Community Based Survey of Supports for Healthy Eating and Active Living (CBS HEAL), a national study sponsored by the CDC. [NAME] started the survey, but was not able to answer some of the questions posed to them in the survey and has nominated you as someone who might be able to answer these questions instead.
In order to access the survey, please use the unique link below.
[NAME] included this personalized message for you during the nomination process:
[INSERT PERSONALIZED NOTE]
If you have any questions, please contact NORC at [email protected] or XXX-XXX-XXXX.
Sincerely,
The
CBS HEAL team
NORC at the University of Chicago
[INTRO1] The first question asks about the structure of your local government.
[GOVSTRUCT_x] Does your local government have a Department, Office, Division, or other similar entity that is responsible for...?
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Yes |
No |
Don’t know |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
[INTRO2] These questions ask about communitywide planning documents that local governments may have created or adopted that promote healthy eating and active living. These may include Comprehensive/General/Master Plans, or other plans, such as a transportation plan, a parks and recreation plan, or a bicycle and pedestrian plan.
[GENPLAN] Does your local government have a Comprehensive/General/Master Plan?
Yes
No [GO TO OTHPLAN_A]
Don’t know [GO TO OTHPLAN_A]
[GENMANDATE] Was the development of your Comprehensive/General/Master Plan mandated by the state?
Yes
No
Don’t know
[GENPLANYR] When was your Comprehensive/General/Master Plan first adopted?
Less than 5 years ago
5 years to less than 10 years ago
10 years to less than 15 years ago
15 years to less than 20 years ago
More than 20 years ago
Don’t know
[GENPLANUP] When was your Comprehensive/General/Master Plan last revised or updated?
Less than 5 years ago
5 years to less than 10 years ago
More than 10 years ago
Currently being revised or updated
It has not been revised or updated
Don’t know
[OTHPLAN_x] Does your local government have any of the following types of master plans, including stand-alone plans that are not a part of the Comprehensive/General/Master Plan?
|
Yes |
No |
Don’t know |
|
1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
[PROGRAMMER: IF GENPLAN=(2 OR 77) AND OTHPLAN_A=(2 OR 77) AND OTHPLAN_B=(2 OR 77) AND OTHPLAN_C=(2 OR 77) AND OTHPLAN_D=(2 OR 77), AND OTHPLAN_E=(2 OR 77), GO TO ADAPLAN ELSE CONTINUE.]
[OBPLAN_x] Does your local government have any of the following objectives included in the plan(s)? These objectives should be written in the plan. However, they do not have to have been implemented yet.
|
Yes |
No |
Don’t know |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
[ADAPLAN] Has your local government developed or updated an Americans with Disabilities Act (ADA) Transition Plan since 2010? An ADA Transition Plan is a plan local governments develop to ensure equal access to facilities, public rights-of-way, and services with people with disabilities.
Yes
No, but planning to develop or update
No, and not planning to develop or update
Don’t know
[EQPLAN] Does your local government have a plan for the allocation of resources to low income or traditionally under-resourced areas?
Yes, we have a stand-alone plan
Yes, it is incorporated into other plans
3) No, but we are planning to develop one or incorporate into other plans
4) No, and we are not planning to develop one or incorporate into other plans
77) Don’t know
[INTRO3] The next questions ask about policies or standards that support the physical activity of your community’s residents, even if the policy or standard was passed by another level of government (such as a regional transportation planning authority). You may find it helpful to consult with a representative in either the parks and recreation department or transportation department if you cannot answer a question.
[PAGOV_x] Does your local government have design standards, guidelines, or policies that require…?
|
Yes |
No |
Don’t know |
|
1 |
2 |
77 |
|
1 |
2 |
77 |
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1 |
2 |
77 |
[STREETCOMP] Does your local government have a formal Complete Streets policy, as defined by the National Complete Streets Coalition, for designing and operating streets with safe access for all users? A Complete Streets policy, as defined by the National Complete Streets Coalition, is a policy ensuring that transportation planners and engineers consider the needs of all users during the design of major road projects, including bicyclists, pedestrians of all ages and abilities, public transit vehicles and riders, and motorists.
Yes
No [GO TO STREETZERO]
Don’t know [GO TO STREETZERO]
[STREETGOV] What level of government adopted the Complete Streets policy?
Municipality
Metropolitan area (e.g. MPO)
County
Region (e.g. regional transportation planning authority)
Other
Don’t know
[STREETADOPT] When was your Complete Streets policy first adopted?
Less than 5 years ago
5 years to less than 10 years ago
10 years to less than 15 years ago
15 years to less than 20 years ago
More than 20 years ago
Don’t know
[STREETREVISE] When was your Complete Streets policy last revised or updated?
Less than 5 years ago
5 years to less than 10 years ago
More than 10 years ago
Currently being revised or updated
It has not been revised or updated
Don’t know
[STREETMEAS] Does the Complete Streets policy establish specific performance measures that will be used to monitor success? These measures assess the impact of the policy. Examples include miles of sidewalks or bike lanes completed, pedestrian or cyclist counts, or pedestrian or cyclist injuries.
Yes
No
Don’t know
[STREETZERO] Does your local government have a Vision Zero Action Plan or Strategy in place, as defined by the Vision Zero Network? A Vision Zero Action Plan or Strategy, as defined by the Vision Zero Network, is a plan or strategy to eliminate all traffic fatalities and severe injuries, while increasing safe, healthy, equitable mobility for all. Include a plan or strategy even if it was adopted by another level of government (such as a regional transportation planning authority).
Yes
No
Don’t know
[STREETFORM] Does your local government have Form-Based Code regulations in place, as defined by the Form-Based Codes Institute? A Form-Based Code, as defined by the Form-Based Codes Institute, is a land development regulation that fosters predictable built results and a high-quality public realm by using physical form (rather than separation of uses) as the organizing principle for the code. A form-based code is a regulation, not a mere guideline, adopted into city, town, or county law.
Yes
No
Don’t know
[BIKERACK] Does your local government have a written requirement or official objective to install bicycle racks at public facilities, such as public parks, government buildings, or transit stations?
Yes
No
Don’t know
[INTRO3A] The next questions ask about parks and outdoor recreation areas and policies supporting recreation.
[PARKPOL_x] Does your local government have policies or budget provisions related to parks or outdoor recreation areas, such as…?
|
Yes |
No |
Don’t know |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
[SCHREC] Has your local government adopted a joint or shared use agreement or memorandum of understanding with any school that allows the public to use school recreational facilities (for example, gymnasiums, athletic fields, or playgrounds) during non-school hours?
Yes
No [GO TO LOCALTAC]
Our municipality does not have schools in our jurisdiction [GO TO LOCALTAC]
Don’t know [GO TO LOCALTAC]
[SCHJOINT] Who is your joint use or shared use agreement with?
Local school district or board
Individual school
Other
Don’t know
[SCHDOOR] What school recreational facilities are covered by the joint or shared use agreement or memorandum of understanding?
Outdoor facilities only
Indoor facilities only
Outdoor and indoor facilities
Don’t know
[LOCALTAC] Does your local government have a pedestrian, bicycle, or active transportation advisory committee?
Yes
No [GO TO INTRO4]
Don’t know [GO TO INTRO4]
[REPTAC_x] Is there a designated health/public health or community representative on the pedestrian, bicycle, or active transportation advisory committee?
|
Yes |
No |
Don’t Know |
|
1 |
2 |
77 |
|
1 |
2 |
77 |
[INTRO4] These next questions ask about zoning and design or development codes that support healthy eating and active living.
[ZONELOC] Does your local government have a planning and/or zoning commission?
Yes
No [GO TO ZONECODE_A]
Don’t know [GO TO ZONECODE_A]
[ZONEREP_x] Is there a designated health/public health or community representative on the planning and/or zoning commission?
|
Yes |
No |
Don’t Know |
|
1 |
2 |
77 |
|
1 |
2 |
77 |
[ZONECODE_x] Does your local government include the following features in policies for development, including zoning codes design/development guidelines?
|
Yes |
No |
Don’t know |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
[ZONEREM] Does your local government have policies that remove zoning barriers (e.g. lot size requirements) or provide other zoning incentives to encourage supermarkets to open in underserved areas or food deserts?
Yes
No
My community does not have underserved areas or food deserts
Don't know
[ZONEPOL] Does your local government have specific zoning policies to address recurring non-permanent farmers markets?
Yes
No
Don’t know
[INTRO5] The next questions ask about public transportation and related policies and processes that support healthy eating and active living in your community, even if the policy or process was passed by another level of government (such as a regional transportation planning authority).
[PUBAUTH] Is transportation planning for your community performed in part or completely by a regional/metropolitan authority or organization?
Yes, in part
Yes, completely
No
Don’t know
[PUBTRANS] Does your local government have a defined process or set of criteria for prioritizing or selecting transportation projects?
Yes
No [GO TO PUBCURRENT]
Don’t know [GO TO PUBCURRENT]
[PUBMODES] Does this process include criteria that prioritizes providing multiple transportation choices (including non-motorized modes and transit) for people to access homes, jobs, schools, food, or other retail?
Yes
No
Don’t know
[PUBCURRENT] Is the community currently served by public transit (e.g. buses, light rails, subway commuter rail)?
Yes
No, but planning for transit [GO TO PUBSPECS]
No, and not planning for transit [GO TO PUBDEMAND]
Don’t know [GO TO PUBDEMAND]
[PUBCOMM_x] Does your community have the following types of public transit available?
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Yes |
No |
Don’t know |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
[PUBSPECS] Are requirements for public transit facilities specified (e.g. access, lighting, shelter) in community policies and plans?
Yes
No
Don’t know
[PUBMULTI] Are there multimodal use requirements near transit stops (e.g. provision of bicycle lanes and sidewalks present within a certain radius of a transit stop)?
Yes
No
Don’t know
[PUBTOD] Are there incentives offered to promote transit-oriented development (TOD) (e.g. increased density, different parking requirements)? Transit-oriented development, or TOD, is a type of urban development that maximizes the amount of residential, business, and leisure space within walking distance of public transportation.
Yes
No
[PUBLOC_x] When planning public transit, does your local government consider locating near the following destinations? Include planning done by your local government or another level of government such as the regional transportation planning authority.
|
Yes |
No |
Do not have this destination in our community |
Don’t know |
|
1 |
2 |
3 |
77 |
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1 |
2 |
3 |
77 |
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1 |
2 |
3 |
77 |
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1 |
2 |
3 |
77 |
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1 |
2 |
3 |
77 |
[PUBDEMAND] Even if your community is not served by mass transit, does your local government operate paratransit community vans or shuttle buses that operate on as-needed or on-demand basis?
Yes
No [GO TO INTRO6]
Don’t know [GO TO INTRO6]
[DESTINAT_x] Do these vans or shuttle buses provide transportation to any of the following destinations?
|
Yes |
No |
Do not have this destination in our community |
Don’t know |
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1 |
2 |
3 |
77 |
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1 |
2 |
3 |
77 |
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1 |
2 |
3 |
77 |
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1 |
2 |
3 |
77 |
[INTRO6] The next questions are about policies that may affect access to healthy food options in your community, even if the policy or standard was passed by another level of government. If you feel you cannot provide the best answer, you may find it helpful to consult with the following types of representatives within your local government: a public health official, a representative in the tax assessor’s office, or a purchasing or procurement representative.
[OTHFOOD] Not including schools, does your local government or a subcontractor sell foods or beverages to employees or visitors on local government-owned or operated properties? This could include cafeterias, vending machines, park concession stands, or other food venues.
Yes
No [GO TO OTHSERVE]
Don’t know [GO TO OTHSERVE]
[OTHGOV] Not including schools, does your local government have written nutrition standards for foods and beverages sold to employees or visitors in or on government-owned or operated properties?
Yes
No [GO TO OTHSERVE]
Don’t know [GO TO OTHSERVE]
[OTHCONTRACT] Are any of these nutrition standards included in food purchasing agreements and/or food service contracts?
Yes
No
Don’t know
[OTHSERVE] Not including schools, does your local government or a subcontractor serve food (at little or no cost) to facility residents or program participants in facilities or programs owned or operated by the local government? This could include correctional facilities, senior centers/programs, recreation programs, or other settings that serves congregate meals.
Yes
No [GO TO INTRO6A]
Don’t know [GO TO INTRO6A]
[OTHOWN] Not including schools, does your local government have written nutrition standards for foods served to facility residents or program participants in facilities or programs it owns or operates?
Yes
No [GO TO INTRO6A]
Don’t know [GO TO INTRO6A]
[OTHAGREE] Are these nutrition standards included in food purchasing agreements and/or food service contracts?
Yes
No
Don’t know
[INTRO6A] The next questions ask you about policies that support increasing access to healthful foods. Supermarkets and full-service grocery stores typically stock a higher proportion of healthier foods than smaller stores, including convenience and corner stores. Supermarkets and full-service grocery stores sell a general line of foods, including canned and frozen foods; fresh fruits and vegetables; and fresh and prepared meats, fish, and poultry.
[STOREOPEN_x] Does your local government currently use any of the following approaches to encourage supermarkets and other full-service grocery stores to open stores?
|
Yes |
No |
Don’t know |
|
1 |
2 |
77 |
|
1 |
2 |
77 |
|
1 |
2 |
[PROGRAMMER” IF STOREOPEN_A=(2 OR 77) AND STOREOPEN_B=(2 OR 77) AND STOREOPEN_C=(2 OR 77), GO TO INTRO6B. ELSE CONTINUE.]
[LOWINCOME] Do any of these policies or programs used by your community to encourage supermarkets and other full-service grocery stores to open stores explicitly prioritize low-income or under-resourced areas?
Yes
No
Our community does not have any low-income or under-resourced areas
Don’t know
[INTRO6B] In addition to supermarkets and full-service grocery stores, food can be sold in smaller venues such as convenience or corner stores. Some local governments use incentives, training, or grants to help convenience or corner stores sell healthier foods.
[HEALTHFOOD_x] Does your local government provide any of the following to help convenience or corner stores sell healthier foods?
|
Yes |
No |
Don’t know |
|
1 |
2 |
77 |
|
1 |
2 |
77 |
|
1 |
2 |
77 |
[PROGRAMMER: IF HEALTHFOOD_A=(2 OR 77) AND HEALTHFOOD_B=(2 OR 77) AND HEALTHFOOD_C=(2 OR 77), GO TO INTRO6C. ELSE CONTINUE.]
[HLTHFOODLOW] Do any of these policies or programs used to help convenience or corner stores sell healthier foods explicitly prioritize low-income or under-resourced areas?
[INTRO6C] These next questions ask about policies and standards that your community may use to support access to farmers markets operated by the local government or other entities within the community. Please answer the questions, even if you don’t currently have farmers markets in your community.
[FARMPOLICY_x] Does your local government have any policies related to farmers markets, farm stands, or green/produce carts that…?
|
Yes |
No |
Don’t know |
|
1 |
2 |
77 |
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1 |
2 |
77 |
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1 |
2 |
77 |
|
1 |
2 |
77 |
|
1 |
2 |
77 |
[FARMMRKT] Does your community have a farmers’ market, farm stand, or green/produce cart?
Yes, we currently have one
No, but we are working on getting one
No, but we had one or more in the past
No, we have never had one
Don’t know
[FARMEBT] Does your local government provide funding for Electronic Benefits Transfer (EBT) machines or provide technical assistance on how to obtain or use EBT machines at local farmers markets, farm stands, or green/produce carts? Electronic Benefit Transfer (EBT) is an electronic system that allows the government to provide assistance benefits. Assistance benefits include the Supplemental Nutrition Assistance Program [SNAP], formerly known as Food Stamps, or the Temporary Assistance for Needy Families [TANF]) via a plastic debit card to eligible constituents.
Yes
No
Our community does not have a farmers’ market, farm stand, or green/produce cart
Don’t know
[FOODSEC] Does your community have a local, county, or regional food policy council, food security coalition, or other community group working to increase access to healthy food? A food policy council is a council that brings together stakeholders from diverse food-related sectors in a specific geographical area to examine how the food system is operating in that area and to develop recommendations for improvement.
Yes
No [GO TO SNAP]
Don’t know [GO TO SNAP]
[FOODCOUN] Is a local government employee or elected official a member of the food policy council, food security coalition, or other community groups working to increase access to healthy food?
Yes
No
Don’t know
[PHCOUNC_X] Is there a designated health/public health or community representative on the food policy council, food security coalition, or other community groups working to increase access to healthy food?
|
Yes |
No |
Don’t Know |
|
1 |
2 |
77 |
|
1 |
2 |
77 |
[SNAP] Does your local government offer incentive programs that allow Supplemental Nutrition Assistance Program (SNAP) recipients to purchase healthier foods at a subsidized or discounted rate beyond standard SNAP benefits? (For example, programs that provide extra SNAP funds for the purchase of healthy foods in places such as farmers markets, corner stores, or grocery stores.)
Yes
No
Don’t know
[LEADTEST] Not including schools, does your local government require testing for lead in tap water in buildings owned or operated by local government?
Yes
No
Don’t know
[INTRO7] These next questions ask about policies that support employee breastfeeding.
[FEMWORK] Federal law requires employers to provide breast-feeding employees with break time and a private space other than a bathroom to pump breast milk. The law applies only to women who work for hourly wages. Does your local government have a policy that allows ALL (salaried and hourly) local government employees break time and space to pump breast milk?
Yes
No
Don’t know
[FEMMAT] Does your local government provide paid maternity leave for its employees? Paid maternity leave is paid leave that does not use already accrued leave such as vacation or sick leave. It also does not include leave allowed under the Family Medical Leave Act (FMLA). A human resources department representative may be helpful in answering this question.
Yes
No [GO TO THANKYOU]
Don’t know [GO TO THANKYOU]
[FEMWEEK] How long is this maternity leave?
Less than 4 weeks
4-7 weeks
8-12 weeks
More than 12 weeks
THANKYOU. Thank you for your participation in the CBS HEAL study. We appreciate your time and efforts. A summary report will be sent to you when all data has been collected and summarized. If you have any questions, please contact our study partner, NORC at the University of Chicago, at [email protected] or 800-239-5036.
Please hit “SUBMIT” to submit your survey responses.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Stephanie Poland |
File Modified | 0000-00-00 |
File Created | 2021-02-04 |