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I consider my primary role or constituency to be: Community Based/Nonprofit Organization Community Member Government Official/Staff Health Professional Parent School Professional-Administrator School Professional-Board Member School Professional-Food Service School Professional-Health Teacher School Professional-Higher Ed School Professional-Nurse/Health Aid School Professional-P.E. Teacher School Professional-Teacher School Professional-Other Student None of the Above
I am the parent of school-aged child Yes No
What motivates you to work in the school health and wellness space? Optional (500 character limit)
What attracts you to Action for Healthy Kids? Pick top 3 Strength of leadership/staff Reputation and credibility Easily accessible Quality programs Passionate about mission Evidence-based Delivers results National reach State level reach Strong relationships with local schools Learning opportunities Financial efficiency and transparency Other (please specify below) Hold down control key to select 3 options
Other: What attracts you, AFHK Optional (250 character limit)
What are the top 3 reasons you engage with Action for Healthy Kids? Trainings, webinars or conferences Grants for my school School health assessment: the AFHK-Modified School Health Index Physical activity and nutrition activities (through the AFHK Game On program) School breakfast resources Local school wellness updates, resources and events State level updates Advancing the AFHK mission through financial support I have not used any AFHK services or resources Other (please specify below) Hold down control key to select 3 options
Other: Reasons to engage with AFHK Optional (250 character limit)
Choose up to five words that best describe Action for Healthy Kids: Knowledgeable Inexperienced Credible Unreliable Resourceful Helpful Difficult Cooperative Inconsistent Trustworthy Unresponsive Innovative Engaging Outdated Available Fun Inclusive Hold down control key to select 5 options
I see myself as a champion for healthy schools: Strongly agree Agree Somewhat agree Neither Somewhat disagree Disagree Strongly disagree
I see myself as a champion for Action for Healthy Kids: Strongly agree Agree Somewhat agree Neither Somewhat disagree Disagree Strongly disagree
When I think of school health and wellness, Action for Healthy Kids comes to mind: Strongly agree Agree Somewhat agree Neither Somewhat disagree Disagree Strongly disagree
How familiar are you with Action for Healthy Kids’ online Game On program? I use the Game On program regularly (4+ times per year). I have used the Game On program, but not regularly (1-3 times per year or less). I have heard of the Game On program, but I have never accessed it. I have never heard of the Game On program. Action for Healthy Kids Game On program
How do you use the online Game On program? I use the steps of the online Game On program to guide our school health work. I use the online Game On program for ideas and resources to support/enhance school health initiatives. I use the online Game On program to access the School Health Index. I use the online Game On program for resources to apply for the HealthierUS School Challenge: Smarter Lunchrooms initiative. N/A – I don’t use the online Game On program. Other (please specify below) Hold down control key to select more than one option
Other: How online Game On is used Optional (250 character limit)
How can Action for Healthy Kids improve the Game On program? Optional (500 character limit)
How familiar are you with Every Kid Healthy Week? Very familiar Familiar Somewhat familiar Not familiar
How familiar are you with Parents for Healthy Kids website? Very familiar Familiar Somewhat familiar Not familiar
How familiar are you with School Grants for Healthy Kids? Very familiar Familiar Somewhat familiar Not familiar
How familiar are you with SuperFit School Challenge? Very familiar Familiar Somewhat familiar Not familiar
Which school health and wellness opportunities would you be most interested in? Pick top 3 Lead or support a taste test at a school Create or maintain a school garden Serve as a recess coach Provide support in the cafeteria during lunch times Organize or chaperone walk or bike-to-school routes Organize or support a fun run/walk, 5K or field day Organize or support a health fair Apply for grants or help with fundraising Participate on a school health team Organize a fundraiser for my school Other (Please specify below) Hold down control key to select 3 options
Other: School health and wellness volunteer interest Optional (250 character limit)
My Facebook interaction with Action For Healthy Kids would best be described as: I don’t use Facebook. I don’t follow AFHK because I only follow friends and family on Facebook, not organizations. I don’t follow AFHK on Facebook but do follow other organizations. I follow AFHK but generally do not find the information useful and interesting. I follow AFHK and find the information useful and interesting.
If you do not follow Action for Healthy Kids on Facebook, why not? Optional (500 character limit)
I believe that schools play a role in a child’s health: Strongly agree Agree Somewhat agree Neither Somewhat disagree Disagree Strongly disagree
I believe that the community plays a role in a child’s health: Strongly agree Agree Somewhat agree Neither Somewhat disagree Disagree Strongly disagree
To what extent do you believe school health influences student academic success? Very influential Influential Somewhat influential Neutral Not influential Don’t know/I’m not sure
To what extent do you believe physical education and physical activity influence student academic success? Very influential Influential Somewhat influential Neutral Not influential Don't know/I'm not sure
To what extent do you believe nutrition environment and services (including school meals and snacks, nutrition education and nutrition promotion) influence student academic success? Very influential Influential Somewhat influential Neutral Not influential Don't know/I'm not sure
To what extent do you believe the social and emotional climate influences student academic success? Very influential Influential Somewhat influential Neutral Not influential Don't know/I'm not sure Note: A school’s social and emotional climate refers to an environment that promotes and supports student understanding and management of emotions, and building healthy relationships with others.
To what extent do you believe family and community involvement influence student academic success? Very influential Influential Somewhat influential Neutral Not influential Don't know/I'm not sure
Would you find comprehensive access to leading research, tools and resources about the Learning Connection useful? No, I do not have enough interest in this topic to utilize this resource. No, I prefer to do my own research. No, I already know enough about the Learning Connection. Maybe, I’d have to learn more about it. Yes, I’d certainly check it out. Yes, this is something I would use regularly. The Learning Connection is linking healthy eating and physical activity to higher academic performance, educational behavior, and cognitive ability and attitude.
Would your school be interested in participating in a funded project where you would be asked to share academic data, such as GPA and standardized test scores? Yes, I would be interested in this type of opportunity. I might be interested in this opportunity—would need more information. No, I would not be interested in this opportunity. Note: No individual student information would be requested.
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Action for Healthy Kids600 West Van Buren Street, Suite #720Chicago, IL 60607Phone: 1-800-416-5136