General Information 

We invite you to complete the following survey to understand where Fit NOLA can help balance partnerships between schools and physical activity/nutrition programming. The survey includes 4 sections:

· The physical activity section has 17 questions related to practices for how and when students have access to    recreation. The physical activity assessment is designated for either elementary schools or high schools.

· The nutrition section features 9 questions related to policies and practices around youth access to nutritious foods in the school.

· The wellness section consists of six questions about the policies and approach to wellness as a whole.

· The farm to school section has 10 questions related to farm to school activities.

The Fit NOLA School Sector will analyze and aggregate survey data to connect schools with external resources and determine designations based on all survey submissions. As possible, the designations will be paired with incentives supportive of student health.

 

Fit NOLA will not report survey responses in association with school names, only the designation, unless approved by the school completing the survey.  

 

*Please answer multiple choice questions by highlighting your answer in bold or a different color.

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* 1. School Name:

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* 2. Number of Students in School:

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* 3. Grades Served: 

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* 4. School Principal:

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* 5. School Contact Name:

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* 6. School Contact Title:

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* 7. School Contact Phone Number:

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* 8. School Contact Email:

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* 9. Individual Administering Survey:

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* 10. Survey Administrator Organization:

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* 11. Survey Administrator Phone Number:

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* 12. Survey Administrator Email:

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* 13. Date Survey Completed:

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