AssessmentTool-CenterforScienceinthePublicInterest.docVIP

Thank you for participating in this pilot test of an assessment tool that measures the extent of food and beverage marketing in schools. NONE of the information provided will be reported by each individual school. All information provided will be combined with all 36 schools participating. To keep track of schools participating, a unique school ID has been provided on the box below to identify your school without using its name. You will use this tool to assess food and beverage advertising and other marketing for food and beverages on your school campus. To answer some of the questions, you will need to walk around the school campus to observe any advertising, marketing or promotion of foods or beverages. Please complete the form to the best of your knowledge. Be as comprehensive as possible and collect information for all food and beverage marketing. PLEASE WRITE IN YOUR RESPONSES AS CLEARLY AND LEGIBLY AS POSSIBLE IN THE SPACE PROVIDED. DO NOT IDENTIFY THE NAME OF THE SCHOOL ANYWHERE ON THIS TOOL. ONLY USE THE SCHOOL ID NUMBER PROVIDED IN THE BOX BELOW. If you have any questions please contact: SCHOOL INFORMATION SCHOOL ID: _________________________ Name: ______________________________Position: __________________________ Date the survey was started: ________________________ Date the survey was completed: _____________________________  POSTERS SIGNS As you walk around the school, describe the posters and signs with food or beverage product pictures, names, logos, spokespersons or characters, or other product representations everywhere in the school. For a sample, see the first row. (Don’t include vending machine fronts here; report them in question #2.) STEP 1: Identify Number of Posters/Signs in Location STEP 2: List All Products/Logos Shown STEP 3: Number of times Product/Logo Shown Location Total number of posters and/or signs Products, product names, logos or other representations shown on posters or signs. Provide the number of times each is