HEAL STAKEHOLDER QUESTIONNAIRE

Please take a few minutes to complete this questionnaire.  If you have already completed this questionnaire, thank you for your participation.
 
The purpose of this questionnaire is to:

·       Learn about the work of other organizations engaged in healthy eating and active living strategies

·       Gain a community perspective on essential needs to be successful in this work

·       Build relationships and partnerships across a broad, inclusive set of stakeholders

What to know about this questionnaire:

·       Your responses will be kept confidential and data will be shared only in the aggregate

·       Healthy Eating = eating 5 or more fruits and vegetables every day

·       Active Living = getting at least 1 hour of physical activity every day

* 1. What sector do you feel you represent? (Mark all that apply)

* 2. Name three specific aspects of the greater Kitsap community that support healthy eating and/or physical activity.

* 3. Name three specific aspects of the greater Kitsap community that are barriers to healthy eating and/or physical activity.

* 4. Please list the programs/projects you are involved in related to healthy eating, active living (HEAL).

* 5. Please list any additional programs/projects that you are aware of in Kitsap related to healthy eating, active living (HEAL).

* 6. When thinking about  Healthy Eating at a community level, what is most essential?
(Choose 0-3:   0 = least essential; 3 = most essential)

  0 1 2 3
Improve access to markets that sell or provide high-quality fruits and vegetables in underserved communities.
Increase the availability of high-quality fruits and vegetables at retail stores.
Increase the demand and purchasing of locally grown and produced food.
Ensure access to free, safe drinking water.
Increase and promote healthy food and beverage options in restaurants.
Increase menu labeling in restaurants, vending, snack bars, and cafeterias.
Provide opportunities to build skills and knowledge regarding healthy food and beverages.
Establish policies to incorporate fruit and vegetables activities into schools as a way to increase consumption.
Increase support for county level policies that limits unhealthy food/beverage options (e.g., Sugary-sweetened beverage tax).
Increase support for county level policies that increase healthy food/beverage options (e.g., Farm to Institution).

* 7. When thinking about Active Living at a community level, what is most essential?
(Choose 0-3:   0 = least essential; 3 = most essential)

  0 1 2 3
Improve access to safe and affordable places for physical activity.
Increase active transportation through Safe Routes to School.
Support for county level policies that increase active transportation, community design and development.
Improve access to public-private recreational facilities in communities with limited recreational opportunities.
Improve workplace policies and programs that increase physical activity.
Establish school policies and programs that increase physical activity.
Establish early learning policies and programs that increase physical activity.

* 8. Would you like to...

* 9. Thank you.
May we contact you?   If so, please provide the below information.

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