Miners/Panther Valley School Health Index Module 11 Community Involvement Question Title * 1. Thank you for taking the time to participate in the Panther Valley Healthy Schools survey. Please select the answer that best describes you. Student Parent/Guardian/Grandparent of a school aged child Faculty/Staff/Administration Community Member Other Question Title * 2. Do community members (e.g., community groups, organizations) have opportunities to help with school decision making on health and safety policies and programs? (NOTE: Community members include individuals other than school board members) Yes, community members are actively engaged in most school decision-making on health and safety policies and programs Community members are actively engaged in some school decision-making on health and safety policies and programs Community members are offered opportunities to provide input on a few school decisions on health safety policies and programs, but not consistently No, community members are not engaged in school decision-making on health and safety policies and programs Question Title * 3. Does your school or district have a formal process to recruit, train, and involved community members as volunteers to enrich school health and safety programs? Yes, our school or district has a formal process to recruit, train, and involve community members Our school or district has an informal process to get community members involved Our school or district does not recruit or train, but involves community members when needed No, our school or district does not recruit, train, or involve community members Question Title * 4. Does your school partner with local community organizations, businesses, or local hospitals to engage students and their families in health promotion activities? Yes, our school partners with local community organizations, businesses, or local hospitals to promote and engage students and their families in health promotion activities, for all school health initiatives Our school partners with local community organizations, businesses, or local hospitals to promote and engage students and their families in health promotion activities, for most school health initiatives Our school partners with local community organizations, businesses, or local hospitals to promote and engage students and their families in health promotion activities, for some school health initiatives No, our school does not work with local community organizations, businesses, or local hospitals to promote and engage students and their families in health promotion activities for school health initiatives Question Title * 5. Does your school work with local community organizations, businesses, or local hospitals to plan community events that promote health and wellness for students, families, and community members? Yes, our school frequently works with local community organizations, businesses, or local hospitals to plan community events that promote health and wellness Our school often works with local community organizations, businesses, or local hospitals to plan community events that promote health and wellness Our school occasionally works with local community organizations, businesses, or local hospitals to plan community events that promote health and wellness No, our school does not work with local community organizations, businesses, or local hospitals to plan community events that promote health and wellness Question Title * 6. Does your school work with community-based, out-of-school programs (e.g., Boys & Girls Clubs, 21st Century Community Learning Centers, Parks and Recreation) to develop and implement routine activities that promote health for all participating students? Yes, our school works with out-of-school programs to develop and implement routine activities that promote health for all participating students Our school works with out-of-school programs to develop and implement routine activities that promote health for select participating students Our school works with out-of-school programs to develop and implement occasional activities that promote health for participating students No, our school does not work with out-of-school programs to develop or implement activities that promote health for participating students Question Title * 7. Do community partners visit your school to present information and engage students from all grade levels in learning activities to improve student health? Yes, community partners visit our school to present information and engage students from all grade levels in health-oriented learning activities to improve student health Community partners visit our school to present information and engage students from most grade levels in health-orientated learning activities to improve student health Community partners visit our school to present information and engage students from some grade levels in health-oriented learning activities to improve student health No, community partners do not visit our school to present information or engage students in learning activities to improve student health Question Title * 8. Does your school connect students with community organizations to participate in events that promote and distribute information on health and wellness? Yes, our school frequently connects students with community organizations to participate in events that promote and distribute information on health and wellness Yes, our school often connects students with community organizations to participate in events that promote and distribute information on health and wellness Our school sometimes connects students with community organizations to participate in events that promote and distribute information on health and wellness No, our school does not connect students with community organizations to participate in events that promote and distribute information on health and wellness Question Title * 9. Does your school partner with community-based healthcare providers to link students and families with accessible community health services and resources? Yes, our school partners with community-based healthcare providers to link students and families with accessible community health services and resources Yes, our school partners with community-based healthcare providers to link students and families with accessible community health services or resources Yes, our school partners with community-based healthcare providers to link students with accessible community health services or resources, but does not link families with community health services or resources No, our school does not partner with community-based healthcare providers to link students and families with community health services or resources Question Title * 10. Does your school have a written agreement with community partners to develop and support school health programs and activities that addresses each of the following?* Program decision-making processes* Plan for the implementation of program activities* Designated program responsibilities, including responsibilities for related costs, for the school and the community partner(s) Yes, our written agreement with community partners addresses each of three components Our written agreement addresses two of the components Our written agreement addresses one of the components No, our written agreement addresses none of the components or our school does not have a written agreement with community partners to develop and support school health programs and activities Question Title * 11. Thanks again for participating. Please provide any comments or feedback regarding any of the survey questions and/or suggestions on how to improve the health and wellness of Panther Valley. Done