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School Wellness Policy Survey
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* Indicates required question
Do you know what a Wellness Policy is?
*
Yes
No
Maybe
Does Middleton School District have a Wellness Policy?
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Yes
No
I don't know
Do you know where to find the Wellness Policy?
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Yes
No
I don't know
If you know about the Wellness Policy- have you read it?
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Yes
No
Do you understand the importance of a Wellness Policy?
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Yes
No
I don't know
Do you know who to contact about the Wellness Policy?
*
Yes
No
Maybe
Do you have a family member enrolled in the Middleton School District?
*
Yes
No
If you have read the Wellness Policy, would you change any of the nutrition goals?
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Yes
No
If you answered yes to the previous question; please describe how
Your answer
If you have read the Wellness Policy, would you change any of the physical activity goals?
*
Yes
No
If you answered yes to the previous question; please describe how
Your answer
Would you be willing to be a part of the Wellness Policy Committee?
*
Yes
No
If you answered yes to the above question; please enter your contact information below.
Your answer
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