Be Active Kids Online Provider Training Pre-Survey

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* 1. Please complete the following for tracking information

Name

School/Center Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

County

Email Address

Phone Number

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* 2. What is your Job Title?

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* 3. Which of the following topics have you addressed at your child care center/school related to physical activity and active play?

Commit to increasing physical activity and active play

Goals and action planning

Using physical activity curriculum or integrating physical activity into existing plans

Parent education and communication

Policies

Community involvement

Modify outdoor and/or indoor space to increase physical activity

Appropriate equipment

Staff wellness

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* 4. How much time do the children in your classroom spend in high levels of physical activity each day (while in your care)?

0-29 minutes

30-59 minutes

60-119 minutes

120 or more minutes

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* 5. How many minutes of the above time are spent in structured physical activity or activity led by the teacher?

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* 6. How many of those minutes are spent in unstructured physical activity or child led physical activity?

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* 7. What age group do you work with?

Infant

toddlers

pre-schoolers

school age

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* 8. How many kids do you have in your class?

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* 9. Which of the following programs or initiatives are you currently using or involved with?

Active Play Books

CATCH

Color Me Healthy

Kids Eat Smart Move More

GO NAPSACC

Preventing Obesity by Design (POD) Natural Learning Initiative

SHAPE NC

SPARK

Other (please specify)

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* 10. What is the greatest barrier or challenge to you incorporating more physical activity into your classroom at this point in time? Check all that apply.

Lack of physical activity equipment

Lack of knowledge about physical activity

I personally don't like the curriculum

Lack of time

The kids don't like to be active

I don't like being active

Lack of financial resources

I use another curriculum

I just don't see the benefits