Community Capacity Survey – Food Preparation Personnel
Community Capacity Survey – Food Preparation Personnel Name: __________________________ Role/Title: _______________________
Date Completed: __________________ Center Name: ____________________
Purpose: The Wellness Around Traditional Community Health (WATCH) Program is designed to improve the health and quality of life for American Indian children ages 3 to 5 years. This program will provide resources to you, your students, their parents, and the child’s health care provider. The resources will offer education on healthy eating practices as well as physical activity that will enhance child health and establish healthy behaviors for a lifetime. Instruction: This survey will help our staff develop a program tailored to your needs. Please answer the questions to the best of your ability in the space provided. 1. What about your menu are you most proud of? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 2. What is something you would want to change regarding your menu or food preparation methods, if any? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 3. Are there any cultural foods that are currently being implemented in your menu? If so, what are they? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________