2012 School Health Surveys Fact Assistance Sheet

Elementary Principal
Secondary Principal
Lead Health Education Teacher
Lead Physical Education Teacher
1. Has your school ever used the School Health Index or other self-assessment tool to assess your school’s policies, activities, and programs in the following areas?

School Wellness Policy

State Board of Education Policy 4321.1 (2008) and Statute 126-86-12 (2008) outline requirements of local wellness policies that county boards of education are required to follow. Wellness policies must address nutrition education, physical activity, nutrition guidelines for all foods and beverages available on school campus, and other school-based activities to promote student wellness. The policy must include an evaluation plan for measuring implementation, a time line for implementation, assessment and evaluation. A county-wide assessment must be conducted biannually. The policy must govern all schools in the county and be submitted to the Office of Child Nutrition biannually. Failure to submit the policy may result in a non-compliance violation and suspension of federal meal reimbursements pending compliance.

1. Has your school ever used the School Health Index or other self-assessment tool to assess your school’s policies, activities, and programs in the following areas?

School Wellness Policy

State Board of Education Policy 4321.1 (2008) and Statute 126-86-12 (2008) outline requirements of local wellness policies that county boards of education are required to follow. Wellness policies must address nutrition education, physical activity, nutrition guidelines for all foods and beverages available on school campus, and other school-based activities to promote student wellness. The policy must include an evaluation plan for measuring implementation, a time line for implementation, assessment and evaluation. A county-wide assessment must be conducted biannually. The policy must govern all schools in the county and be submitted to the Office of Child Nutrition biannually. Failure to submit the policy may result in a non-compliance violation and suspension of federal meal reimbursements pending compliance.

1. How many required health education courses do students take in grades 6 through 12 in your school?


 

1. Is physical education required for students in any of grades 6 through 12 in your school?


 

2. The Elementary and Secondary Education Act requires certain schools to have a written School Improvement Plan (SIP). Many states and school districts also require schools to have a written SIP. Does your school’s written SIP include objectives on any of the following topics?


Office of School Improvement Strategic Plan

2. The Elementary and Secondary Education Act requires certain schools to have a written School Improvement Plan (SIP). Many states and school districts also require schools to have a written SIP. Does your school’s written SIP include objectives on any of the following topics?


Office of School Improvement Strategic Plan

2. Is a required health education course taught in each of the following grades in your school?


 

2. Can students be exempted from taking required physical education for one grading period or longer for each of the following reasons?


 

3.  During the past year, did your school review health and safety data such as fitness data as part of your school’s improvement planning process?


HEAP Results for WV Schools (Grade 6)

FitnessGram Results for WV Schools (Grades 4, 5, 6)

3.  During the past year, did your school review health and safety data such as Youth Risk Behavior Survey data or fitness data as part of your school’s improvement planning process?


YRBS Results for WV Schools (MS and/or HS)

HEAP Results for WV Schools (Grades 6, 8, 9-12)

FitnessGram Results for WV Schools(Grades 4-12)

 

3. If students fail a required health education course, are they required to repeat it?


 

3. Does your school follow any national, state, or district physical education standards? These standards might cover student expectations and performance outcomes for physical education.


 

4.  Currently, does someone at your school oversee or coordinate school health and safety programs and activities?


Suggestions: Lead teachers for Health or Physical Education, wellness coach, chairperson of school wellness committee, school nurse

4.  Currently, does someone at your school oversee or coordinate school health and safety programs and activities?


Suggestions: Lead teachers for Health or Physical Education, wellness coach, chairperson of school wellness committee, school nurse

4. Are those who teach health education at your school provided with each of the following materials?


 

4. Do your school’s standards for physical education specifically address the following?


 

5. Is there one or more than one group (e.g., a school health council, committee, or team) at your school that offers guidance on the development of policies or coordinates activities on health topics?


Local School Improvement Council, professional learning community, school wellness community

5. Is there one or more than one group (e.g., a school health council, committee, or team) at your school that offers guidance on the development of policies or coordinates activities on health topics?


Local School Improvement Council, professional learning community, school wellness community

5. Does your health education curriculum address each of the following?


 

5. Do teachers in your school use the following resources when planning to teach or teaching physical education classes?


 

6. Are each of the following groups represented on any school health council, committee, or team?


 

6. Are each of the following groups represented on any school health council, committee, or team?


 

6. Is health education instruction required for students in any of grades 6 through 12 in your school?


 

6. Does your school have a written curriculum for physical education?


 

7. During the past year, has any school health council, committee, or team at your school done any of the following activities?


Regional School Wellness Specialist Trainings

7. During the past year, has any school health council, committee, or team at your school done any of the following activities?


Regional School Wellness Specialist Trainings

7. During this school year, have teachers in your school tried to increase student knowledge on each of the following topics in a required course in any of grades 6 through 12?


 

7. Does your physical education curriculum include the following components?


 

8. Has your school adopted a policy that addresses each of the following issues on human immunodeficiency virus (HIV) infection or AIDS?


Policy 2423, WVDE basic healthcare procedures manual

8. Has your school adopted a policy that addresses each of the following issues on human immunodeficiency virus (HIV) infection or AIDS?


Policy 2423, WVDE Basic and Specialized Healthcare Procedures Manual

8. During this school year, did teachers in your school teach each of the following tobacco-use prevention topics in a required course for students in any of grades 6 through 12?


 

8. Has your school ever used a curriculum analysis tool such as the Physical Education Curriculum Analysis Tool (PECAT) to assess one or more physical education curricula?


 

9. Is health education instruction required for students in any of grades K through 6 in your school?


9.  Are any school staff required to receive professional development (e.g., workshops, conferences, continuing education, or any other kind of in-service) on HIV, STD, or pregnancy prevention issues and resources for the following groups?

 

9. During this school year, did teachers in your school teach each of the following HIV, STD, or pregnancy prevention topics in a required course for students in each of the grade spans below?


 

9. Which of the following best describes the typical student-to-teacher ratio in physical education classes at your school?


 

10.  Is required health education taught in each of the following grades in your school?
10. Does your school have a student-led club that aims to create a safe, welcoming, and accepting school environment for all youth, regardless of sexual orientation or gender identity? These clubs sometimes are called gay/straight alliances.

 

10. During this school year, did teachers in your school teach about the following contraceptives in a required course for students in any of grades 9 through 12?


 

10. Which of the following statements best describes how physical education is taught at your school to students with long-term physical, medical, or cognitive disabilities?


 

11. Are those who teach health education at your school provided with each of the following materials?


 

11. Does your school engage in each of the following practices related to lesbian, gay, bisexual, transgender, or questioning (LGBTQ) youth?


Policy 4373

11. During this school year, did teachers in your school teach each of the following nutrition and dietary behavior topics in a required course for students in any of grades 6 through 12?


 

11. Does your school offer any physical education courses that are taught…


 

12.  Is physical education required for students in any of grades K through 6 in your school?


Policy 2510, Policy 2520.55, Policy 2520.6

in elementary school to participate in at least 30 minutes of physical education at least three days a week,

12.  Is physical education required for students in any of grades 6 through 12 in your school?


Policy 2510, Policy 2520.6

Code 18-2-7a (2005) requires studentsat least one full period of physical education in middle school, and at least one full course credit of physical education for students in high school

12. During this school year, did teachers in your school teach each of the following physical activity topics in a required course for students in any of grades 6 through 12?


 

12. During this school year, did teachers in your school teach each of the following activities in a physical education class for students in any of grades 6 through 12? Please mark “yes” if teachers taught the activity itself, lead-up skills, skills specific to the activity, or modified versions of the activity.


 

13. Is a required physical education course taught in each of the following grades in your school?


Policy 2510, Policy 2520.55, Policy 2520.6

13. Is a required physical education course taught in each of the following grades in your school?


Policy 2510, Policy 2520.6

13. During this school year, did your school provide any HIV, STD, or pregnancy prevention programs for ethnic/racial minority youth at high risk (e.g., black, Hispanic, or American Indian youth), including after-school or supplemental programs, that did each of the following?


 

13. During this school year, did teachers in your school teach each of the following topics in a physical education class for students in any of grades 6 through 12?


 

14. During the past two years, did any physical education teachers or specialists at your school receive professional development (e.g., workshops, conferences, continuing education, or any other kind of in-service) on physical education?


Health and Physical Education Leadership Academy, WVAHPERD Conference, KidStrong Conference, WVAEPE Conference at Camp Caesar, Regional School Wellness Specialist's workshops

14. During the past two years, did any physical education teachers or specialists at your school receive professional development (e.g., workshops, conferences, continuing education, or any other kind of in-service) on physical education?


Health and Physical Education Leadership Academy, WVAHPERD Conference, KidStrong Conference, WVAEPE Conference at Camp Caesar, Regional School Wellness Specialist's workshops

14. Does your school provide curricula or supplementary materials that include HIV, STD, or pregnancy prevention information that is relevant to lesbian, gay, bisexual, transgender, and questioning youth (e.g., curricula or materials that use inclusive language or terminology)?


 

14. When preparing lessons for a physical education class, what percent of time do teachers in your school typically allocate for students to be physically active?


 

15.  Are those who teach physical education at your school provided with each of the following materials?


Policy 2520.55, Policy 2520.6

15.  Are those who teach physical education at your school provided with each of the following materials?


Policy 2520.55, Policy 2520.6

15. During this school year, have any health education staff worked with each of the following groups on health education activities?


 

15. Do teachers in your school use the following technology when teaching physical education?


 

16. Do students in each of the following grades participate in recess during every school day? (Do not include physical education.)


NASPE recommendations, School Policy and Practices

16. Outside of physical education, do students participate in physical activity breaks in classrooms during the school day?


Let's Move West Virginia

16. During this school year, did your school provide parents and families with health information designed to increase parent and family knowledge of each of the following topics?


 

16. Does your school collect information on student weight status using body mass index or other methods as part of physical education?


 

17. On average, how many minutes each day do students spend in recess?


 

17. Does your school offer opportunities for all students to participate in intramural sports programs or physical activity clubs? (Intramural sports programs or physical activity clubs are any physical activity programs that are voluntary for students, in which students are given an equal opportunity to participate regardless of physical ability.)


 

17. During the past two years, did you receive professional development (e.g., workshops, conferences, continuing education, or any other kind of in-service) on each of the following topics?


17. Do teachers in your school use each of the following criteria to assess students in physical education?


 

18. Outside of physical education and recess, do students participate in physical activity breaks in classrooms during the school day?


Let's Move West Virginia

18. Does your school offer interscholastic sports to students?


 

18. During the past two years, did you receive professional development (e.g., workshops, conferences, continuing education, or any other kind of in-service) on each of the following topics?


 

18. Are grades for physical education considered the same as those from other subject areas when determining grade point averages, honor roll status, or other indicators of academic standing?


 

19. Does your school offer opportunities for all students to participate in intramural sports programs or physical activity clubs? (Intramural sports programs or physical activity clubs are any physical activity programs that are voluntary for students, in which students are given an equal opportunity to participate regardless of physical ability.)


 

19. A joint use agreement is a formal agreement between a school or school district and another public or private entity to jointly use either school facilities or community facilities to share costs and responsibilities. Does your school, either directly or through the school district, have a joint use agreement for shared use of school or community physical activity facilities?


Churches, YMCA, youth groups, Scouts

19. Would you like to receive professional development on each of the following topics?


 

19. Which of the following fitness tests does your school use to test students’ fitness levels?


 

20. A joint use agreement is a formal agreement between a school or school district and another public or private entity to jointly use either school facilities or community facilities to share costs and responsibilities. Does your school, either directly or through the school district, have a joint use agreement for shared use of school or community physical activity facilities?


 

20. Has your school adopted a policy prohibiting tobacco use?


Policy 2422.5  Substance Abuse and Tobacco Control

20. During the past two years, did you receive professional development (e.g., workshops, conferences, continuing education, or any other kind of in-service) on each of the following topics?


 

20. Does your school compare students’ fitness test scores to each of the following?


 

21. Has your school adopted a policy prohibiting tobacco use?


Policy 2422.5  Substance Abuse and Tobacco Control

21.  Does the tobacco-use prevention policy specifically prohibit use of each type of tobacco for each of the following groups during any school-related activity?


Policy 2422.5  Substance Abuse and Tobacco Control

21. Would you like to receive professional development on each of these topics?


 

21. Do physical education teachers in your school schedule time during physical education class for students to practice for the fitness tests?


 

22. Does the tobacco-use prevention policy specifically prohibit use of each type of tobacco for each of the following groups during any school-related activity?


Policy 2422.5  Substance Abuse and Tobacco Control

22. Does the tobacco-use prevention policy specifically prohibit tobacco use during each of the following times for each of the following groups?


Policy 2422.5  Substance Abuse and Tobacco Control

22. What was the major emphasis of your professional preparation?


 

22. Does your school provide students with an explanation of what their fitness tests scores mean?


 

23. Does the tobacco-use prevention policy specifically prohibit tobacco use during each of the following times for each of the following groups?


Policy 2422.5  Substance Abuse and Tobacco Control

23. Does the tobacco-use prevention policy specifically prohibit tobacco use in each of the following locations for each of the following groups?


Policy 2422.5  Substance Abuse and Tobacco Control

23. Currently, are you certified, licensed, or endorsed by the state to teach health education in middle school or high school?


 

23. Does your school offer opportunities for all students to participate in intramural sports programs or physical activity clubs?


 

24. Does the tobacco-use prevention policy specifically prohibit tobacco use in each of the following locations for each of the following groups?


Policy 2422.5  Substance Abuse and Tobacco Control

24. Does your school have procedures to inform each of the following groups about the tobacco-use prevention policy that prohibits their use of tobacco?


Policy 2422.5  Substance Abuse and Tobacco Control

24. Including this school year, how many years of experience do you have teaching health education courses or topics?


 

24. Are any of the following intramural sports or physical activity clubs offered to students at your school?


 

25. Does your school have procedures to inform each of the following groups about the tobacco-use prevention policy that prohibits their use of tobacco?


Policy 2422.5  Substance Abuse and Tobacco Control

25. Does your school’s tobacco-use prevention policy include guidelines on what actions the school should take when students are caught smoking cigarettes?


Policy 2422.5  Substance Abuse and Tobacco Control

 

25. Currently, does one person at your school oversee and coordinate all physical activity programming before, during, and after the school day, including physical education, school-based physical activity opportunities (e.g., classroom-based physical activity), and intramural sports or physical activity clubs?


 

26. Does your school’s tobacco-use prevention policy include guidelines on what actions the school should take when students are caught smoking cigarettes?


Policy 2422.5  Substance Abuse and Tobacco Control

26. At your school, who is responsible for enforcing your tobacco-use prevention policy?


Policy 2422.5  Substance Abuse and Tobacco Control

 

26. What is this person’s role at your school?


 

27. At your school, who is responsible for enforcing your tobacco-use prevention policy?


Policy 2422.5  Substance Abuse and Tobacco Control

27. Do each of the following criteria help determine what actions your school takes when students are caught smoking cigarettes?


Policy 2422.5  Substance Abuse and Tobacco Control

   

28. Do each of the following criteria help determine what actions your school takes when students are caught smoking cigarettes?

Policy 2422.5  Substance Abuse and Tobacco Control

 

28. When students are caught smoking cigarettes, how often are each of the following actions taken?


Policy 2422.5  Substance Abuse and Tobacco Control

   

29. When students are caught smoking cigarettes, how often are each of the following actions taken?


Policy 2422.5  Substance Abuse and Tobacco Control

29. Does your school post signs marking a tobacco-free school zone, that is, a specified distance from school grounds where tobacco use is not allowed?


Policy 2422.5  Substance Abuse and Tobacco Control

   

30. Does your school post signs marking a tobacco-free school zone, that is, a specified distance from school grounds where tobacco use is not allowed?


Policy 2422.5  Substance Abuse and Tobacco Control

3.5.2.4.d

30. Does your school provide tobacco cessation services for each of the following groups?


Policy 2422.5  Substance Abuse and Tobacco Control

   

31. Does your school provide tobacco cessation services for faculty and staff?


Policy 2422.5  Substance Abuse and Tobacco Control

31. Does your school have arrangements with any organizations or health care professionals not on school property to provide tobacco cessation services for each of the following groups?


Policy 2422.5  Substance Abuse and Tobacco Control

   

32. Does your school have arrangements with any organizations or health care professionals not on school property to provide tobacco cessation services for faculty and staff?


Policy 2422.5  Substance Abuse and Tobacco Control

32. When foods or beverages are offered at school celebrations, how often are fruits or non-fried vegetables offered?


 

   

33. When foods or beverages are offered at school celebrations, how often are fruits or non-fried vegetables offered?


Policy 4321.1 School Nutrition

33. Can students purchase snack foods or beverages from one or more vending machines at the school or at a school store, canteen, or snack bar?


Policy 4321.1 School Nutrition

   

34. Can students purchase snack foods or beverages from one or more vending machines at the school or at a school store, canteen, or snack bar?


Policy 4321.1 School Nutrition

34. Can students purchase each of the following snack foods or beverages from vending machines or at the school store, canteen, or snack bar?


Policy 4321.1 School Nutrition

   

35. Can students purchase each of the following snack foods or beverages from vending machines or at the school store, canteen, or snack bar?


Policy 4321.1 School Nutrition

35. During this school year, has your school done any of the following?


Policy 4321.1 School Nutrition

   

36. During this school year, has your school done any of the following?


Policy 4321.1 School Nutrition

36. At your school, are candy, meals from fast food restaurants, or soft drinks promoted through the distribution of products, such as t-shirts, hats, and book covers to students?


Policy 4321.1 School Nutrition

   

37. At your school, are candy, meals from fast food restaurants, or soft drinks promoted through the distribution of products, such as t-shirts, hats, and book covers to students?


Policy 4321.1 School Nutrition

37. Does your school prohibit advertisements for candy, fast food restaurants, or soft drinks in each of the following locations?


Policy 4321.1 School Nutrition

   

38. Does your school prohibit advertisements for candy, fast food restaurants, or soft drinks in each of the following locations?


Policy 4321.1 School Nutrition

38. Are students permitted to have a drinking water bottle with them during the school day?


Policy 4321.1 School Nutrition

   

39. Are students permitted to have a drinking water bottle with them during the school day?


Policy 4321.1 School Nutrition

39. Does your school offer a free source of drinking water in the cafeteria during meal times?


Policy 4321.1 School Nutrition

   

40. Does your school offer a free source of drinking water in the cafeteria during meal times?


Policy 4321.1 School Nutrition

40. Is there a full-time registered nurse who provides health services to students at your school? (A full-time nurse means that a nurse is at the school during all school hours, 5 days per week.)


 

   

41. Is there a full-time registered nurse who provides health services to students at your school? (A full-time nurse means that a nurse is at the school during all school hours, 5 days per week.)


 

41. At your school, how many students with known asthma have an asthma action plan on file? (Students with known asthma are those who are identified by the school to have a current diagnosis of asthma as reported on student emergency cards, medication records, health room visit information, emergency care plans, physical exam forms, parent notes, and other forms of health care clinician notification.)


 

   

42. At your school, how many students with known asthma have an asthma action plan on file? (Students with known asthma are those who are identified by the school to have a current diagnosis of asthma as reported on student emergency cards, medication records, health room visit information, emergency care plans, physical exam forms, parent notes, and other forms of health care clinician notification.)


 

42. At your school, which of the following events are used to identify students with poorly controlled asthma?


 

   

43. At your school, which of the following events are used to identify students with poorly controlled asthma?


 

43. Does your school provide each of the following services for students with poorly controlled asthma?


 

   

44. Does your school provide each of the following services for students with poorly controlled asthma?


 

44. How often are school staff members required to receive training on recognizing and responding to severe asthma symptoms?


 

   

45. How often are school staff members required to receive training on recognizing and responding to severe asthma symptoms?


 

45. Has your school adopted a policy stating that students are permitted to carry and self-administer asthma medications?


 

   

46. Has your school adopted a policy stating that students are permitted to carry and self-administer asthma medications?


 

46. Does your school have procedures to inform each of the following groups about your school's policy permitting students to carry and self-administer asthma medications?


 

   

47. Does your school have procedures to inform each of the following groups about your school's policy permitting students to carry and self-administer asthma medications?


 

47. At your school, who is responsible for implementing your school’s policy permitting students to carry and self-administer asthma medications?


 

   
 

48. Does your school provide the following services to students?