Wellness Policy Survey
Student Survey
Administered by: Elementary Students in Grades 4 and 6
Please take a few minutes to give us your input on the Wellness Policy by completing the following questions:
Wellness Policy1. I have heard about the wellness policy before.
2 1
Agree Disagree
2. Do you think that our school needs a wellness policy?
2 1
Agree Disagree
3. Have you noticed any changes in the food offered at breakfast since the wellness policy started?
2 1
Agree Disagree
4. Do you like the changes?
2 1
Agree Disagree
5. Do you think these changes will help us become healthier?
2 1
Agree Disagree
Eating/Nutrition Habit
6. I know what healthy snacks I should eat.
2 1Agree Disagree
7. I know when I am eating food that is not good for me.
2 1
Agree Disagree
8. Eating a healthy lunch at school is important to me.
2 1Agree Disagree
Physical Activity
9. I play and am physically active almost every day.
2 1Agree Disagree
10. I like the types of physical activity available to me during school.
2 1Agree Disagree
11. I would like to become involved in clubs or team sports after school.
2 1Agree Disagree
12. I get a good night’s sleep just about every night.
2 1Agree Disagree
13. I spend 2-3 hours a night on the computer or with video games.
2 1Agree Disagree
14. I spend 2-3 hours a night watching television.
2 1Agree Disagree
School Lunch Program
15. I like to eat the lunches that our school offers.
2 1Agree Disagree
16. I believe that the school lunch is a healthy lunch for me.
2 1Agree Disagree
School Breakfast Program
17. I like to eat breakfast at school.
2 1Agree Disagree
18. The school breakfast is a healthy breakfast for me.
2 1Agree Disagree
Nutrition Education
19. I know how much milk I should drink each day.
2 1Agree Disagree
20. I know how many fruits and vegetables I should eat each day.
2 1Agree Disagree
The Health Message in My School21. My teachers help me learn about healthy eating habits.
2 1Agree Disagree
22. Teachers encourage me to get plenty of physical activity.
2 1Agree Disagree
23. I can tell that the adults in my school care about good nutrition and health.
2 1Agree Disagree
Resource:
Wisconsin School Public Relations Association (2006-2007). Wellness Policy Survey. Retrieved March 2, 2007, from http://www.wspra.org/survey%20questions.pdf
