JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Montebello USD Wellness Assessment 2023 for Intermediate and High Schools
This is a self assessment tool that is designed to assess Montebello USD school wellness. Assessment results for the district will be pooled for the annual wellness assessment report.
All the questions for the modules in this online form are multiple choice or checkbox. However if you're interested, you can access the full School Health Index
https://www.cdc.gov/healthyschools/shi/pdf/Middle-High-Total-2017.pdf
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is/are your name(s)? (Optional)
Your answer
With which school(s) are you involved
*
Your answer
What is your position? (Teacher, student, parent, administrator, etc.)
*
Your answer
Which module of the survey would you like to fill out? After you submit your answers to one module, there is an option to go back and fill out another if you like.
*
School Health and Safety Policies and Environment (38 questions)
Physical Education and Physical Activity Programs (27 questions)
Nutrition Environment and Services (14 questions)
Family Engagement (10 questions)
General Feedback (write a comment)
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Montebello Unified School District.
Report Abuse
Forms
