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SJA - Wellness Policy Assessment Form
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Nutritional Education Goals - Question #1: Students in grades K through 8 receive nutrition education that teaches the skills necessary to adopt healthy eating habits?
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Yes
No
Required
Nutritional Education Goals Question #1: Comments
Your answer
Nutritional Education Goals - Question #2: Students receive consistent nutrition messages throughout the school?
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Yes
No
Required
Nutritional Education Goals Question #2: Comments
Your answer
Nutritional Education Goals - Question #3: School health education curriculum standards and guidelines include both nutrition and physical education?
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Yes
No
Required
Nutritional Education Goals Question #3: Comments
Your answer
Physical Fitness Goals - Question #1: Students are given the opportunity for physical activity during the school day in addition to physical educations classes, (i.e., daily recess, classroom activities, etc.)?
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Yes
No
Required
Physical Fitness Goals - Question #1: Comments
Your answer
Physical Fitness Goals - Question #2: Students are given the opportunity for physical activity through a range of before and / or after school programs?
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Yes
No
Required
Physical Fitness Goals - Question #2: Comments
Your answer
Nutrition Goals - Question #1: USDA guidelines set for food and beverages in the food services program are being followed?
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Yes
No
Required
Nutrition Goals - Question #1: Comments
Your answer
Nutrition Goals - Question #2: Guidelines set for food and beverages sold to students outside of the food service program are being followed?
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Yes
No
Required
Nutrition Goals - Question #2: Comments
Your answer
Other School Based Activities to promote Student Wellness - Question #1: The school provides a clean and safe environment for students and staff?
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Yes
No
Required
Other School Based Activities to promote Student Wellness - Question #1: Comments
Your answer
Other School Based Activities to promote Student Wellness - Question #2: Students have access to free drinking water throughout the school day?
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Yes
No
Required
Other School Based Activities to promote Student Wellness - Question #2: Comments
Your answer
Other School Based Activities to promote Student Wellness - Question #3: The school has a health professional or counselor available to students?
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Yes
No
Required
Other School Based Activities to promote Student Wellness - Question #3: Comments
Your answer
Other School Based Activities to promote Student Wellness - Question #4: The school ensures adequate time for students to eat lunch?
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Yes
No
Required
Other School Based Activities to promote Student Wellness - Question #4: Comments
Your answer
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