Appendix K - Training Module for School Liaison _Competitive Food Checklist

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School Nutrition Dietary Assessment Study - IV

Appendix K - Training Module for School Liaison _Competitive Food Checklist

OMB: 0584-0527

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School Nutrition Dietary Assessment Study (SNDA-IV)

Training

If you have any questions, call us toll free at (xxx) xxx-xxxx or

email akelly@mathematica-mpr.com

 

Your Role

  • Complete two forms for your school about: 

      • Vending machines 

      • Other sources of foods and beverages 

  • Complete both forms within one week of receiving this e-mail 

  • Fax completed forms back to Mathematica 

 

Goals Of This Training

  • Introduce the two data collection forms 

  • Clarify the types of information to be collected  

  • Provide guidance about how to complete the forms 

 

Vending Machine Form

 

Vending Machine Form

  • Collects information about every machine available to students during the school day (including before or after school), including: 

      • Location 

      • Type of machine 

      • Capacity/size of machine 

      • Contents (types of items available) 

  • Separate sections for: 

      • Beverage machines 

      • Snack machines 

 

 

Vending Machine Locations

 

Vending Machine Type
(Use only for combination beverage and snack machines)

 

Vending Machine Capacity/Size:
If Slots Are Not Visible

  • If slots are not visible, enter the number                                                                 of buttons THAT ARE NOT SOLD OUT 

 

Vending Machine Capacity/Size:
If Slots Are Visible

  • Count the number of front slots that are filled 

  • Count the number of front slots that are empty  

  •  Total the number of filled and empty slots 

 

Vending Machine Contents

  • Record the number of slots (or buttons) dedicated to each type of food or beverage 

  • For machines with visible slots, base your counts on the item in the front slot 

 

Example #1 - Beverages

 

Example #2 - Snacks

 

Other Sources of Foods/Beverages Form

 

Other Sources of
Foods/Beverages Form

  • Documents the availability of: 

      • School stores 

      • Snack bars outside the cafeteria 

      • Food carts/kiosks outside the cafeteria 

      • Fundraisers 

      • Other sources 

  • For each available source, documents: 

      • Location(s) 

      • Types of items available 

 

Other Sources of
Foods/Beverages Form

  • Do NOT include foods or beverages from these sources on this form:  

      • Vending machines 

      • Cafeteria 

      • Kiosks, tables or other venues used to distribute free fruits and vegetables through USDA’s Fresh Fruit and Vegetable Program 

        •  We will alert you if your school participates in this program  

 

Filling in the Form

 

Other Food Source Locations

 

Before You Return Your Forms

 

Returning Your Completed Forms

 

Thank you very much!

Please allow 4 weeks from the date we receive your forms to receive your payment

 
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