The NEBOCES is currently working on creating a regional comprehensive health and wellness plan to address the most important health problems in our area.  Please complete this survey to help us determine which student health problems and school health component areas to focus on as we develop this plan.

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* 1. Select 1 option below that best describes your role in your school district and community. 

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* 2. With which school district do you most closely identify?

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* 3. Indicate how important it is for your school district to focus on each student health problem (check 1 box for each health problem):

  Extremely Very Moderately Slightly Low Not at all
Poor Mental Health
Alcohol, Tobacco, and Other Drug Use
Unsafe Driving
Obesity
Bullying and Violence
Unhealthy Eating
Unhealthy Sleep Habits
Carrying Weapon(s)
Technology Concerns
High Risk Sexual Behavior
Physical Inactivity
Disconnection from School

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* 4. List any additional health problems that are just as (or more) important than those included above.

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* 5. Indicate how important it is for your school district to focus on each of the following school health component areas:

  Extremely Very Moderately Slightly Low Not at all
Health Education
Physical Education & Physical Activity
Nutrition Environment & Services
Health Services (e.g. first aid, emergency care, management of health conditions)
Social & Emotional Climate
Counseling, Psychological, & Social Services
Physical Environment
Employee Wellness
Family Engagement
Community Involvement

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* 6. Include any additional comments related to student and school health in our region here: 

Thank you for your time. If you have any questions about this survey or our efforts in developing a comprehensive health and wellness plan, please be in touch.  

NEBOCES Keep Moving Grant Coordinators
Dennis Hill (970) 580-4438
Marcia Hill ((970) 571-3238

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