COMMENT FORM
Directions:
1.) Please review the Brazos Valley Health Partnership (BVHP) Healthy School Recognition Application. 2.) Please provide your feedback on the application by answering the following questions and offering any additional    comments that you may have. Please fax completed form to Angie Alaniz at 979.862.8371. The following questions pertain to "Section 1 - Health Education". Q1 In responding to the questions in Section 1, all possible answer choices were presented.   Agree Disagree Q2 If you disagree, please indicate which questions need additional answer choices and provide the additional answer to be selected. Please be specific. Q3 2.) Do you think the questions asked in Section 1 allow for you to accurately present how your school offers health education?   Yes No Q4 If no, what other questions should be asked to allow you to provide a more accurate representation of how health education is offered in your school? Q5 3.) Were there any questions that seemed redundant or unnecessary?   Yes No Q6 If yes, which questions were redundant or unnecessary? Q7 Please provide any additional comments you feel would improve Section 1 - Health Education.

The following questions pertain to "Section 2 -Physical Education". Q8 In responding to the questions in Section 2, all possible answer choices were presented.   Agree Disagree Q9 If you disagree, please indicate which questions need additional answer choices and provide the additional answer to be selected. Please be specific. Q10 Do you think the questions asked in Section 2 allow for you to accurately present how your school offers physical education?   Yes No Q11 If no, what other questions should be asked to allow you to provide a more accurate representation of how physical education is offered in your school? Q12 Were there any questions that seemed redundant or unnecessary?   Yes No Q13 If yes, which questions were redundant or unnecessary? Q14 Please provide any additional comments you feel would improve Section 2 - Physical Education.

The following questions pertain to "Section 3 - Health Services". Q15 In responding to the questions in Section 3, all possible answer choices were presented.   Agree Disagree Q16 If you disagree, please indicate which questions need additional answer choices and provide the additional answer to be selected. Please be specific. Q17 Do you think the questions asked in Section 3 allow for you to accurately present how your school offers health services?   Yes No Q18 If no, what other questions should be asked to allow you to provide a more accurate representation of how health services are offered in your school? Q19 Were there any questions that seemed redundant or unnecessary?   Yes No Q20 If yes, which questions were redundant or unnecessary? Q21 Please provide any additional comments you feel would improve Section 3 - Health Services.

The following questions pertain to "Section 4 - Nutrition Services". Q22 In responding to the questions in Section 4, all possible answer choices were presented.   Agree Disagree Q23 If you disagree, please indicate which questions need additional answer choices and provide the additional answer to be selected. Please be specific. Q24 Do you think the questions asked in Section 4 allow for you to accurately present how your school offers nutrition services?   Yes No Q25 If no, what other questions should be asked to allow you to provide a more accurate representation of how nutrition services are offered in your school? Q26 Were there any questions that seemed redundant or unnecessary?   Yes No Q27 If yes, which questions were redundant or unnecessary? Q28 Please provide any additional comments you feel would improve Section 4 - Nutrition Services.

The following questions pertain to "Section 5 - Counseling". Q29 In responding to the questions in Section 5, all possible answer choices were presented.   Agree Disagree Q30 If you disagree, please indicate which questions need additional answer choices and provide the additional answer to be selected. Please be specific.   Q31 Do you think the questions asked in Section 5 allow for you to accurately present how your school offers counseling?   Yes No Q32 If no, what other questions should be asked to allow you to provide a more accurate representation of how counseling is offered in your school? Q33 Were there any questions that seemed redundant or unnecessary?   Yes No Q34 If yes, which questions were redundant or unnecessary? Q35 Please provide any additional comments you feel would improve Section 5 - Counseling.

The following questions pertain to "Section 6 - Healthy School Environment". Q36 In responding to the questions in Section 6, all possible answer choices were presented.   Agree Disagee Q37 If you disagree, please indicate which questions need additional answer choices and provide the additional answer to be selected. Please be specific. Q38 Do you think the questions asked in Section 6 allow for your to accurately present how your school provides a healthy environment?   Yes No Q39 If no, what other questions should be asked to allow you to provide a more accurate representation of how healthy environment is provided in your school? Q40 Were there any questions that seemed redundant or unnecessary?   Yes No Q41 If yes, which questions were redundant or unnecessary? Q42 Please provide any additional comments you feel would improve Section 6 - Healthy School Environment.

The following questions pertain to "Section 7- Health Promotion for Staff". Q43 In responding to the questions in Section 7, all possible answer choices were presented.   Agree Disagree Q44 If you disagree, please indicate which questions need additional answer choices and provide the additional answer to be selected. Please be specific. Q45 Do you think the questions asked in Section 7 allow for you to accurately present how your school offers health promotion for the staff?   Yes No Q46 If no, what other questions should be asked to allow you to provide a more accurate representation of how your school offers health promotion to staff members? Q47 Were there any questions that seemed redundant or unnecessary?   Yes No Q48 If yes, which questions were redundant or unnecessary? Q49 Please provide any additional comments you feel would improve Section 7 - Health Promotion for Staff.

The following questions pertain to "Section 8 - Family/Community Involvement". Q50 In responding to the questions in Section 8, all possible answer choices were presented.   Agree Disagree Q51 If you disagree, please indicate which questions need additional answer choices and provide the additional answer to be selected. Please be specific. Q52 Do you think the questions asked in Section 8 allow for  you to accurately present how your school offers family/community involvement?Yes   Yes No Q53 If no, what other questions should be asked to allow you to provide a more accurate representation of how family/community involvement is offered in your school? Q54 Were there any questions that seemed redundant or unnecessary?   Yes No Q55 If yes, which questions were redundant or unnecessary? Q56 Please provide any additional comments you feel would improve Section 8 - Family/Community Involvement.

General Questions about the BVHP School Recognition Application Q57 After reviewing this application, how likely is it that your school will submit an application?   Very likely Somewhat likely Neither likely or unlikely Unlikely Very unlikely Q58 If you choose to provide an application, how will your school submit the application?   We will complete the on-line application We will complete the physical application and mail it. N/A Q59 Why would your school consider participating? Choose all that may apply.   To be publicly recognized for going above and beyond what is required To find out how we measure up against other campuses To promote our activities as best practices which other schools can use as models for their programs. Other Q60 If Other, please explain. Q61 Why would your school choose not to participate? Choose all that may apply   Application too long Don't want to compete with all of the BV campuses We don't have the resources to meet existing state and federal requirements, so we couldn't even make the minimum score Other Q62 If Other, please explain. Q63 Who would complete the application on behalf of your school?   Superintendent Principal School Nurse Counselor P.E. Staff Some of combination of the staff listed above Other Q64 If Other, please explain. Thank you for completing the BVHP School Recognition Application. Please fax the form to Angie Alaniz at 979.862.8371.