Partners of the Plan Survey

Transcription

1 Partners of the Plan Survey I. Washington State Nutrition & Physical Activity Plan The first few questions will ask you about your familiarity with the Washington State Nutrition & Physical Activity Plan and your activities that support the goals of the Plan. Question 1. On a scale of 1 to 4, with one meaning I am not familiar with the Plan at all and 4 meaning I am very familiar with the Plan, how familiar are you with the Washington State Nutrition & Physical Activity Plan? 1 - Not at all familiar 2 - Slightly familiar 3 - Somewhat familiar 4 - Very familiar [As you may know] The purpose of the Washington State Nutrition & Physical Activity Plan is to provide a framework for policy makers at the state, local, and institutional levels to work together to support and build environments that make it easier for Washington residents to choose healthy foods and to be physically active. We are building an inventory of activities or initiatives across the state that support the Plan s objectives by making it easier for people to access healthful foods, breastfeed their infants or toddlers, or be more physically active. Question 2. Please tell us briefly about your involvement with efforts to improve nutrition or physical activity by making changes in policies or environments?

2 Question 3a. Are there other policy or environmental initiatives you would like to, or are planning to, address? Question 3b. What might help you to move into these areas? Question 4. We periodically share work that is being done in different communities with the rest of the State through a newsletter and website. If we wanted to highlight the work you are doing, could we contact you in the future to get more information? Yes No If Yes Thank You! Please provide your contact information below. Name (First Last): Phone:

3 II. Partners of the Plan Network (Partners) The next set of questions will ask about your familiarity with or interest in the Partners of the Plan Network (Partners) and resources to support work related to the Washington State Nutrition & Physical Activity Plan. Question 5. On a scale of 1 to 4, with one meaning I am not familiar with Partners at all and 4 meaning I am very familiar with Partners, how familiar are you with Partners? 1 - Not at all familiar 2 - Slightly familiar 3 - Somewhat familiar 4 - Very familiar [As you may already know], Partners is a network that was established to link individuals across the State who are working towards nutrition and physical activity policy and environmental change. Collaboration and communication are supported by the "Partners" website and newsletter. Question 6. Have you signed up to be a Partner of the Plan? (Usually people sign up by completing a pledge card at a meeting or conference or by registering using the online form on the Partners website). Yes No Not Sure If Currently a Partner Question 7a. How do you use "Partners"?

4 Question 7b. How can "Partners" be improved? If not a Partner or Not Sure Question 7. What would motivate you to join Partners? (i.e. what do you think would be the benefits of joining Partners)? Everyone Answers Question 8. We currently provide a quarterly e-newsletter. Ideally, how frequently do you like to receive this type of communication? For example, would you be interested in receiving shorter updates more frequently?

5 Monthly Quarterly Other/ Comments: Question 9. Do you like to get resources and updates on facebook or other social networking sites? Yes No Don't Know Question 10. What would be helpful resources for us to have on the Partners website? Question 11. What is the best way for us to tell those who are engaged in this work about Partners? (For example, are there state, county or community groups, newsletters, or listservs we should be tapping into? Should we be doing presentations at meetings about the Plan and Partners?) III. Sustainability Thank you for your feedback. We re almost done! Question 12. What is your community doing to ensure this work continues?

6 Question 13. What can we do to support the work you are currently doing or would like to be doing? Question 14. We would like to know who else you think we should be speaking to in your community. Do you have suggestions of other physical activity and nutrition champions who are working towards environmental and policy change in your community who we should be connecting with? Please provide contact information if it is readily available. Your County or Region: Your Organization or Sector (e.g. health care, local government, schools, business, parks and recreation, etc):

7 Your Job Title: Thank you! We really appreciate your time, effort and comments. The information you have provided today will guide us on how we can: provide better resources, communicate more efficiently and effectively, and sustain the great work that is being done. Results of this survey will be posted no later than June 30, 2010 on the Partners in Action website If you are not already a Partner, we would like to invite you to join the Partners in Action Network by completing the on-line pledge form. When you sign up to be a Partner, you will be added to our list of Stakeholders to receive the quarterly newsletter and will be invited to participate in an annual online survey. Thank You!