| |
Criteria |
0 points |
1 point |
2 points |
3 points |
Not Applicable |
| 1 |
School
Breakfast Program |
| 1.1 |
How many fruit,100% fruit juice,
or vegetable options are available at breakfast daily? |
0 |
1 |
2 |
3 or more |
N/A |
| 1.2 |
Are the breakfast produce options
appealing (acceptable to other students)? |
Never |
Some of the time |
Most of the time |
Always |
N/A |
| 1.3 |
How does the price of fruits and
vegetables compare to other breakfast options? |
Expensive |
Same price as most foods offered |
Less Expensive |
|
N/A |
| 2 |
School
Lunch Program |
| 2.1 |
How many fruit or 100% fruit
juice options are available at lunch daily? |
0 |
1 |
2 |
3 or more |
N/A |
| 2.2 |
Are the lunch fruit options
appealing (acceptable to students)? |
Never |
Some of the time |
Most of the time |
Always |
N/A |
| 2.3 |
How many choices of vegetables
are available at lunch daily? |
0 |
1 |
2 |
3 or more |
N/A |
| 2.4 |
Are the lunch vegetable options
appealing (acceptable to students)? |
Never |
Some of the time |
Most of the time |
Always |
N/A |
| 2.5 |
How does the price of fruits and
vegetables compare to other lunch options? |
Expensive |
Same price as most foods offered |
Less Expensive |
|
N/A |
| 3 |
Vending
machines, school stores, concession stands |
| 3.1 |
How many fruit (eg. Dried fruit)
or 100% fruit juice options are available daily? |
0 |
1 |
2 |
3 or more |
N/A |
| 3.2 |
Are the fruit options appealing
(acceptable to students)? |
Never |
Some of the time |
Most of the time |
Always |
N/A |
| 3.3 |
How does the price of fruits
compare to other options? |
Expensive |
Same price as most foods offered |
Less Expensive |
|
N/A |
| 4 |
Cafeteria
Environment |
| 4.1 |
Does the school food service: 1.
prepare vegetables using little or no fat
2. offer low-fat salad dressings
3. highlight healthy cafeteria selections in posted menus |
0 |
1 out of 3 |
2 out of 3 |
3 out of 3 |
N/A |
| 4.2 |
Are cafeteria selections low in
fat, sodium, and added sugars promoted and advertised by: 1. Displaying nutritional
information
2. Poster displays
3. School-wide audio or video announcements made |
0 |
1 out of 3 |
2 out of 3 |
3 out of 3 |
N/A |
| |
For each column, add up the numbers that
are circled and enter the sum in this row |
|
|
|
|
|
| |
Multiply the sum by: |
0 |
1 |
2 |
3 |
0 |
| |
Add column totals for the overall score |
|
| |
%= (Overall score/36 *100) |
|