Be Active Kids Usage Survey (1 & 3 Months Post-Training) Question Title * 1. Your Name: Question Title * 2. Your Be Active Kids Trainer's Name: Question Title * 3. What was the date of your Be Active Kids Training? Question Title * 4. Is your center/school currently part of the Shape NC Initiative? Yes No Question Title * 5. What survey you are submitting? One Month Three Month Question Title * 6. What is one thing that you have done differently because of your work with Be Active Kids? Question Title * 7. How much time do your children spend in high levels of physical activity (i.e. TOTAL number of structured and unstructured physical activity combined) each day while under your care? 0-29 minutes 30-59 minutes 60-119 minutes 120 minutes or more Question Title * 8. How many of those minutes are spent: Structured (teacher-led) minutes: Unstructured (child-led) minutes: Question Title * 9. Which of the following topics have you addressed at your child care center/school related to active play and physical activity since you attended the Be Active Kids training? Check all that apply. Committed to increasing physical activity and active play Assessing current physical activity and play practices Goals and action planning Policies Staff Wellness Community Involvement Parent education and communication Modified outdoor and/or indoor space to increase physical activity Provided appropriate equipment Integrated physical activity into planning routines Question Title * 10. How have you used the Be Active Kids training to promote physical activity in your classroom? Check all that apply. Planned and led more structured activities Used physical activities during transitions Offered more opportunities/time for unstructured physical activity Provided more opportunities and equipment for active play Incorporated fundamental motor skills and movement concepts into physical activities Integrated physical activity into existing plans Other (please specify) Question Title * 11. How often do you use the Movement Guide Kit? Daily Weekly Monthly Quarterly I don't use it Question Title * 12. Please indicate your usage of the Movement Guide sections/contents. How often you use the section Getting Kids Moving: Introduction Daily Weekly Monthly I never use it Getting Kids Moving: Introduction How often you use the section menu Let's Get Started Daily Weekly Monthly I never use it Let's Get Started How often you use the section menu Making Storytime Active Daily Weekly Monthly I never use it Making Storytime Active How often you use the section menu Infants Daily Weekly Monthly I never use it Infants How often you use the section menu Toddlers Daily Weekly Monthly I never use it Toddlers How often you use the section menu Twos Daily Weekly Monthly I never use it Twos How often you use the section menu Toddlers/Twos Daily Weekly Monthly I never use it Toddlers/Twos How often you use the section menu Preschoolers Daily Weekly Monthly I never use it Preschoolers How often you use the section menu Twos/Preschoolers Daily Weekly Monthly I never use it Twos/Preschoolers How often you use the section menu Toddlers/Twos/Preschoolers Daily Weekly Monthly I never use it Toddlers/Twos/Preschoolers How often you use the section menu Glossary Daily Weekly Monthly I never use it Glossary How often you use the section menu Appendix Daily Weekly Monthly I never use it Appendix How often you use the section menu Question Title * 13. What is the greatest barrier or challenge to you incorporating more physical activity at this point in time? Please check all that apply. Lack of physical activity equipment Lack of time Lack of financial resources Lack of knowledge about physical activity I personally don't like the curriculum The kids don’t like to be active I don’t like being active I use another curriculum I just don’t see the benefits Other (please specify) Question Title * 14. What would help you use the Be Active Kids program on a more regular and frequent basis? Physical activity equipment (ball, hoops, etc.) More physical activity ideas (handouts, age specific movement guide) Webinars on various physical activity topics Center/school has policies that require more physical activity Staff Wellness program Gift incentive or awards for using the program Other (please specify) Question Title * 15. Do you have your own copy of a Movement Guide or do you share one with others in your center/school? I use a shared copy. I have my own copy. Question Title * 16. If you use a shared Movement Guide, would you use the Movement Guide more often if you had your own copy? Definitely No No Probably No Probably Yes Yes Definitely Yes Question Title * 17. Please provide your shipping address below so that we can connect your survey with your original training information. Center/School: Address: City/Town: ZIP: Question Title * 18. FOR 1 MONTH SURVEY ONLY: If you didn’t receive your own copy of the Be Active Kids Movement Guide at the Be Active Kids training and have indicated above that you have used the Be Active Kids Movement Guide on a consistent basis, we will send you your own copy. Are you in need of your own Movement Guide? Yes No Done