Well-Powered Schools School Survey 2024 1Welcome2Section 1: Tobacco Free3Section 2: Physically Active4Section 3: Well Nourished5Section 4: Building Resilience6Closing Questions Let’s Get Started Hello! Thank you for taking the on-line questionnaire. A few tips: Please complete this questionnaire in one sitting, as answers don’t save. If you come to a question and are unsure of your answer, simply answer “no” and you will have the opportunity to change it when you meet with me to go over results. Thank you, – MarissaSchool Name:* “Success is the sum of small efforts, repeated day in and day out.” Have a written policy banning tobacco use on school grounds and in school buildings.*This means tobacco use on school grounds and in school buildings is prohibited. Yes No No, but interested Have a policy that includes e-cigarettes, smokeless tobacco, and vaping.* Yes No No, but interested The policy is implemented to the highest extent.*Have you shared the policy with everyone? Would anyone who was not adhering to the policy be spoken to? Yes No No, but interested Have tobacco free signage on campus.*This means a 100% tobacco-free campus. Yes No No, but interested Have a written policy banning tobacco use at all school sponsored events off school grounds.*Examples include school fields, playgrounds, field trips, school sponsored events, etc. Yes No No, but interested The policy is implemented to the highest extent.* Have you shared the policy with the staff? Would steps be taken if the policy isn’t being adhered to? Yes No No, but interested Have tobacco education for all students.* Yes No No, but interested Involve families by providing tobacco prevention education materials.*You would answer yes to this question if you have a formal method to involve families through either a program or policy. Yes, through a policy Yes, through a program No No, but interested How do you accomplish this?*Please provide the name of the program and/or details.Have a referral process for students or staff struggling with tobacco use.*Examples include smoking cessation, etc. Yes No No, but interested Other policies and programs to support a tobacco free school. “That awkward moment when you’re wearing Nike’s – and you can’t do it.”Provide physical education to all grades.* Yes No No, but interested Have a written policy or school protocol allowing physical activity breaks in the classroom.* Yes No No, but interested Have a written policy or school protocol that prohibits the ability to withhold physical activity or use physical activity as a punishment.* Yes No No, but interested Encourage the use of physical activity as a reward.*You would answer yes to this question if you have a formal method to encourage physical activity through either a program or policy. Yes, through a policy Yes, through a program No No, but interested How do you accomplish this?*Please provide the name of the program and/or details. Have a policy or school protocol allowing access to school facilities outside of school hours.*Examples include school gym, fields, playgrounds, pool, etc. Yes No No, but interested Encourage students to be moderately to vigorously active during at least 50% of PE class.*You woud answer yes to this question if you have a formal method to encourage students to be moderately to vigorously active through either a program or policy. Yes, through a policy Yes, through a program No No, but interested How do you accomplish this?*Please provide the name of the program and/or details.Provide physical activity opportunities/clubs/teams (not all competitive) to all students.* Yes No No, but interested We have a protocol in place to have indoor recess when needed.* Yes No No, but interested Provide environmental supports for physical activity opportunities.*Examples include walking maps, bike racks on site, recess/gym equipment, etc. Yes No No, but interested Encourage walking/biking to school and removes barriers (when possible).*You would answer yes to this question if you have a formal method to encourage walking/biking to school through either a program or policy. Yes, through a policy Yes, through a program No No, but interested How do you accomplish this?*Other policies and programs to support physical activity. “Spread love as thick as you would Nutella.”Have a written policy or school protocol on healthy celebrations in the classroom.* Yes No No, but interested Have a written policy or school protocol on non-food rewards in the classroom.* Yes No No, but interested Have a written policy or school protocol about healthy fundraisers.*Examples include active fundraisers, healthy food fundraisers, 50% non-food etc. Yes No No, but interested Have a written policy or school protocol on healthy school sponsored events.* Yes No No, but interested Promote healthy food and beverage choices using Smarter Lunchroom techniques.* Yes No No, but interested Prohibit marketing of unhealthy/junk foods.* Yes No No, but interested Provide free/clean water that is accessible to students all day (allowed in the classroom).* Yes No No, but interested Have nutrition education taught in all grades.*Including nutrition fact reading, meal planning, mindful eating, etc. Yes No No, but interested Implement farm to school activities.*Examples include local and/or regional products incorporated into the school meal program (Monadnock Menus), school garden, field trips to local farms, New Hampshire Harvest of the Month Yes No No, but interested What activities are provided?*Have all competitive foods sold/offered throughout the school day meet the smart snacks (USDA) requirements.*Including school store, fundraisers, snacks, classroom activities, etc. Yes No No, but interested Other policies and programs to support a well nourished school. “The two most important days in life are the day you were born and the day you find out why.”Provide a safe, clean, well kept, & warm learning/school environment.* Yes No No, but interested Provide social/emotional/behavioral health education for all grades (as a separate class or integrated in others).*Including decision making, healthy habits, stress management, etc. Yes, as a separate class Yes, integrated No No, but interested Have evidence-based program(s) in place to prevent bullying, encourage positive behaviors and healthy decision making for all students.* Yes No No, but interested Provide health education around the dangers of drugs/alcohol.* Yes No No, but interested Have a referral system in place for students with mental health or substance misuse concerns.* Including substance misuse, depression, eating disorders, anxiety, etc. Yes No No, but interested Have mental and behavioral health services for students that need extra care or more focused attention in school.*Examples include School Counselor (ideal ratio: 1 for every 250 students, ok 1:400) Yes – 1 for every 250 Yes – 1 for every 300 Yes – 1 for every 350 Yes – 1 for every 400 No Provide environment supports for students’ mental well-being.*Examples include yoga mats, mindfulness/meditation room, flexible classroom/seating etc. Yes No No, but interested Hold school sponsored events that encourage family/parent and community involvement.* Yes No No, but interested Provide training and education for teachers about substance misuse and mental health disorders.*Examples include signs & symptoms of depression, ADHD, anxiety, stress management, etc. Yes No No, but interested If yes, how do you accomplish this?Engage with families and the local community to form supportive partnerships and encourage students to give back to their community.*Examples include school collects & donates to a local pantry Yes No No, but interested Other policies and programs to support building resilience. Just a few additional questions before you’re done!How many students do you have?*Do you have a wellness committee?* Yes No Do school staff receive training/reminders on wellness policies annually?* Yes No Do you encourage staff to role model healthy behaviors?*Examples include not drinking soda or unhealthy beverages in front of students, participating in physical activity with the students, etc. Yes No School encourages parent/family involvement and provides information, resources and events around health and wellness.* Yes No 2024-2025 Commitment: My school is committed to partnering with our youth coordinator over the next 12 months.*Your typed name below will serve as your signature. What is the biggest struggle your school faces in trying to support your students' wellbeing?The information you provide will help build your school’s wellness program report, so the more detailed information- the more robust your report will become!Thank you for filling out our questionnaire! 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