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2010 SCHOOL HEALTH PROFILES

LEAD HEALTH EDUCATION TEACHER QUESTIONNAIRE

District Name

School Name

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REQUIRED HEALTH EDUCATION COURSES

(Definition: A required health education course is defined as one that students must take for graduation or promotion from your school and includes instruction about health topics such as injuries and violence, alcohol and other drug use, tobacco use, nutrition, HIV infection, and physical activity.)

1. This questionnaire should be completed by the lead health education teacher (or the person acting in that capacity) and concerns only activities that occur in the school listed above. Please consult with other people if you are not sure of an answer.

2. Follow the instructions for each question.

3. Enter any additional comments you wish to make at the end of the questionnaire.

4. Since this questionnaire is lengthy you may wish to complete part and finish the rest later. In this case, click on the Save but not Submit Button at the bottom of the screen. It will save what you have entered. When you wish to resume, access the Health Teacher Survey, and what has been entered will be displayed. You may resume the questionnaire, and when finished click on the Submit Button.

5. If you complete the questionnaire in one session, click on the Submit Button at the very bottom of the screen.

Person completing this questionnaire

Name:
Title:
Telephone:

REQUIRED HEALTH EDUCATION COURSES

(Definition: A required health education course is defined as one that students must take for graduation or promotion from your school and includes instruction about health topics such as injuries and violence, alcohol and other drug use, tobacco use, nutrition, HIV infection, and physical activity.)

1. How many required health education courses do students take in grades 6 through 12 in your school? (Mark one response.)
0 courses (Skip to Question 4)
1 course
2 courses
3 courses
4 or more courses

2. Is a required health education course taught in each of the following grades in your school? (For each grade, mark yes or no, or if your school does not have that grade, mark "grade not taught in your school.")

Grade Answer
a. 6 Yes No Grade not taught in your school
b. 7 Yes No Grade not taught in your school
c. 8 Yes No Grade not taught in your school
d. 9 Yes No Grade not taught in your school
e. 10 Yes No Grade not taught in your school
f. 11 Yes No Grade not taught in your school
g. 12 Yes No Grade not taught in your school

3. If students fail a required health education course, are they required to repeat it? (Mark one response.)
Yes
No

The following questions apply to any instruction on health topics such as those listed above Question 1, including instruction that is not required and instruction that occurs outside of health education courses.

4. Are those who teach health education at your school provided with each of the following materials? (Mark yes or no for each material.)

Material Answer
a. Goals, objectives, and expected outcomes for health education Yes No
b. A chart describing the annual scope and sequence of instruction for health education Yes No
c. Plans for how to assess student performance in health education Yes No
d. A written health education curriculum Yes No

5. Does your health education curriculum address each of the following? (Mark yes or no for each skill; or mark NA for each skill if your school does not have a health education curriculum.)

Skill Answer
a. Comprehending concepts related to health promotion and disease prevention to enhance health Yes No NA
b. Analyzing the influence of family, peers, culture, media, technology, and other factors on health behaviors Yes No NA
c. Accessing valid information and products and services to enhance health Yes No NA
d. Using interpersonal communication skills to enhance health and avoid or reduce health risks Yes No NA
e. Using decision-making skills to enhance health Yes No NA
f. Using goal-setting skills to enhance health Yes No NA
g. Practicing health-enhancing behaviors to avoid or reduce risks Yes No NA
h. Advocating for personal, family, and community health Yes No NA

REQUIRED HEALTH EDUCATION

(Definition: Required health education is defined as any classroom instruction on health topics such as those listed above, including instruction that occurs outside of health education courses that students must receive for graduation or promotion from your school.)

6. Is health education instruction required for students in any of grades 6 through 12 in your school? (Mark one response.)
Yes
No

7. During this school year, have teachers in your school tried to increase student knowledge on each of the following topics in a required course in any of grades 6 through 12? (Mark yes or no for each topic.)

Topic Answer
a. Alcohol- or other drug-use prevention Yes No
b. Asthma Yes No
c. Emotional and mental health Yes No
d. Foodborne illness prevention Yes No
e. Human immunodeficiency virus (HIV) prevention Yes No
f. Human sexuality Yes No
g. Injury prevention and safety Yes No
h. Nutrition and dietary behavior Yes No
i. Physical activity and fitness Yes No
j. Pregnancy prevention Yes No
k. Sexually transmitted disease (STD) prevention Yes No
l. Suicide prevention Yes No
m. Tobacco-use prevention Yes No
n. Violence prevention (e.g., bullying, fighting, or homicide) Yes No

8. During this school year, did teachers in your school teach each of the following tobacco-use prevention topics in a required course for students in any of grades 6 through 12? (Mark yes or no for each topic.)

Topic Answer
a. Identifying tobacco products and the harmful substances they contain Yes No
b. Identifying short- and long-term health consequences of tobacco use Yes No
c. Identifying legal, social, economic, and cosmetic consequences of tobacco use Yes No
d. Understanding the addictive nature of nicotine Yes No
e. Effects of tobacco use on athletic performance Yes No
f. Effects of second-hand smoke and benefits of a smoke-free environment Yes No
g. Understanding the social influences on tobacco use, including media, family, peers, and culture Yes No
h. Identifying reasons why students do and do not use tobacco Yes No
i. Making accurate assessments of how many peers use tobacco Yes No
j. Using interpersonal communication skills to avoid tobacco use (e.g., refusal skills, assertiveness) Yes No
k. Using goal-setting and decision-making skills related to not using tobacco Yes No
l. Finding valid information and services related to tobacco-use prevention and cessation Yes No
m. Supporting others who abstain from or want to quit using tobacco Yes No
n. Supporting school and community action to support a tobacco-free environment Yes No
o. Identifying harmful effects of tobacco use on fetal development Yes No

9. During this school year, did teachers in your school teach each of the following HIV, STD, or pregnancy prevention topics in a required course for students in each of the grade spans below? (Mark yes or no for each topic for each grade span; or mark NA for each topic if your school does not contain grades in that grade span.)

Topic Grades 6, 7, or 8 Grades 9, 10, 11, or 12
a. The differences between HIV and AIDS Yes No NA Yes No NA
b. How HIV and other STDs are transmitted Yes No NA Yes No NA
c. How HIV and other STDs are diagnosed and treated Yes No NA Yes No NA
d. Health consequences of HIV, other STDs, and pregnancy Yes No NA Yes No NA
e. The relationship among HIV, other STDs, and pregnancy Yes No NA Yes No NA
f. The relationship between alcohol and other drug use and risk for HIV, other STDs, and pregnancy Yes No NA Yes No NA
g. The benefits of being sexually abstinent Yes No NA Yes No NA
h. How to prevent HIV, other STDs, and pregnancy Yes No NA Yes No NA
i. How to access valid and reliable health information, products, and services related to HIV, other STDs, and pregnancy Yes No NA Yes No NA
j. The influences of media, family, and social and cultural norms on sexual behavior Yes No NA Yes No NA
k. Communication and negotiation skills related to eliminating or reducing risk for HIV, other STDs, and pregnancy Yes No NA Yes No NA
l. Goal-setting and decision-making skills related to eliminating or reducing risk for HIV, other STDs, and pregnancy Yes No NA Yes No NA
m. Compassion for persons living with HIV or AIDS Yes No NA Yes No NA
n. Efficacy of condoms, that is, how well condoms work and do not work Yes No NA Yes No NA
o. The importance of using condoms consistently and correctly Yes No NA Yes No NA
p. How to obtain condoms Yes No NA Yes No NA
q. How to correctly use a condom Yes No NA Yes No NA

10. During this school year, did teachers in your school teach each of the following nutrition and dietary behavior topics in a required course for students in any of grades 6 through 12? (Mark yes or no for each topic.)

Topic Answer
a. Benefits of healthy eating Yes No
b. Food guidance using MyPyramid Yes No
c. Using food labels Yes No
d. Balancing food intake and physical activity Yes No
e. Eating more fruits, vegetables, and whole grain products Yes No
f. Choosing foods that are low in fat, saturated fat, and cholesterol Yes No
g. Using sugars in moderation Yes No
h. Using salt and sodium in moderation Yes No
i. Eating more calcium-rich foods Yes No
j. Food safety Yes No
k. Preparing healthy meals and snacks Yes No
l. Risks of unhealthy weight control practices Yes No
m. Accepting body size differences Yes No
n. Signs, symptoms, and treatment for eating disorders Yes No

11. During this school year, did teachers in your school teach each of the following physical activity topics in a required course for students in any of grades 6 through 12? (Mark yes or no for each topic.)

Topic Answer
a. Physical, psychological, or social benefits of physical activity Yes No
b. Health-related fitness (i.e., cardiorespiratory endurance, muscular endurance, muscular strength, flexibility, and body composition) Yes No
c. Phases of a workout (i.e., warm-up, workout, cool down) Yes No
d. How much physical activity is enough (i.e., determining frequency, intensity, time, and type of physical activity) Yes No
e. Developing an individualized physical activity plan Yes No
f. Monitoring progress toward reaching goals in an individualized physical activity plan Yes No
g. Overcoming barriers to physical activity Yes No
h. Decreasing sedentary activities (e.g., television viewing) Yes No
i. Opportunities for physical activity in the community Yes No
j. Preventing injury during physical activity Yes No
k. Weather-related safety (e.g., avoiding heat stroke, hypothermia, and sunburn while physically active) Yes No
l. Dangers of using performance-enhancing drugs (e.g., steroids) Yes No

HIV PREVENTION

12. During this school year, did your school provide any HIV, STD, or pregnancy prevention programs for ethnic/racial minority youth at high risk (e.g., black, Hispanic, or American Indian youth), including after-school or supplemental programs, that did each of the following? (Mark yes or no for each activity.)

Activity Answer
a. Provided curricula or supplementary materials that include pictures, information, and learning experiences that reflect the life experiences of these youth in their communities Yes No
b. Provided curricula or supplementary materials in the primary languages of the youth and families Yes No
c. Facilitated access to direct health services or arrangements with providers not on school property who have experience in serving these youth in the community Yes No
d. Facilitated access to direct social services and psychological services or arrangements with providers not on school property who have experience in serving these youth in the community Yes No

13. Does your school provide curricula or supplementary materials that include HIV, STD, or pregnancy prevention information that is relevant to lesbian, gay, bisexual, transgender, and questioning youth (e.g., curricula or materials that use inclusive language or terminology)? (Mark one response.)

Yes
No

COLLABORATION

14. During this school year, have any health education staff worked with each of the following groups on health education activities? (Mark yes or no for each group.)

Group Answer
a. Physical education staff Yes No
b. Health services staff (e.g., nurses) Yes No
c. Mental health or social services staff (e.g., psychologists, counselors, and social workers) Yes No
d. Nutrition or food service staff Yes No
e. School health council, committee, or team Yes No

15. During this school year, did your school provide parents and families with health information designed to increase parent and family knowledge of each of the following topics? (Mark yes or no for each topic.)

Topic Answer
a. HIV prevention, STD prevention, or teen pregnancy prevention Yes No
b. Tobacco-use prevention Yes No
c. Physical activity Yes No
d. Nutrition and healthy eating Yes No
e. Asthma Yes No

PROFESSIONAL DEVELOPMENT

16. During the past two years, did you receive professional development (e.g., workshops, conferences, continuing education, or any other kind of in-service) on each of the following topics? (Mark yes or no for each topic.)

Topic Answer
a. Alcohol- or other drug-use prevention Yes No
b. Asthma Yes No
c. Emotional and mental health Yes No
d. Foodborne illness prevention Yes No
e. HIV prevention Yes No
f. Human sexuality Yes No
g. Injury prevention and safety Yes No
h. Nutrition and dietary behavior Yes No
i. Physical activity and fitness Yes No
j. Pregnancy prevention Yes No
k. STD prevention Yes No
l. Suicide prevention Yes No
m. Tobacco-use prevention Yes No
n. Violence prevention (e.g., bullying, fighting, or homicide) Yes No

17. During the past two years, did you receive professional development (e.g., workshops, conferences, continuing education, or any other kind of in-service) on each of the following topics? (Mark yes or no for each topic.)

Topic Answer
a. Describing how widespread HIV and other STD infections are and the consequences of these infections Yes No
b. Understanding the modes of transmission and effective prevention strategies for HIV and other STDs Yes No
c. Identifying populations of youth who are at high risk of being infected with HIV and other STDs Yes No
d. Implementing health education strategies using prevention messages that are likely to be effective in reaching youth Yes No
e. Teaching HIV prevention education to students with physical, medical, or cognitive disabilities Yes No
f. Teaching HIV prevention education to students of various cultural backgrounds Yes No
g. Using interactive teaching methods for HIV prevention education (e.g., role plays or cooperative group activities) Yes No
h. Teaching essential skills for health behavior change related to HIV prevention and guiding student practice of these skills Yes No
i. Teaching about health-promoting social norms and beliefs related to HIV prevention Yes No
j. Strategies for involving parents, families, and others in student learning of HIV prevention education Yes No
k. Assessing students' performance in HIV prevention education Yes No
l. Implementing standards-based HIV prevention education curricula and student assessment Yes No
m. Using technology to improve HIV prevention education instruction Yes No
n. Teaching HIV prevention education to students with limited English proficiency Yes No
o. Addressing community concerns and challenges related to HIV prevention education Yes No

18. Would you like to receive professional development on each of the following topics? (Mark yes or no for each topic.)

Topic Answer
a. Alcohol- or other drug-use prevention Yes No
b. Asthma Yes No
c. Emotional and mental health Yes No
d. Foodborne illness prevention Yes No
e. HIV prevention Yes No
f. Human sexuality Yes No
g. Injury prevention and safety Yes No
h. Nutrition and dietary behavior Yes No
i. Physical activity and fitness Yes No
j. Pregnancy prevention Yes No
k. STD prevention Yes No
l. Suicide prevention Yes No
m. Tobacco-use prevention Yes No
n. Violence prevention (e.g., bullying, fighting, or homicide) Yes No

19. During the past two years, did you receive professional development (e.g., workshops, conferences, continuing education, or any other kind of in-service) on each of the following topics? (Mark yes or no for each topic.)

Topic Answer
a. Teaching students with physical, medical, or cognitive disabilities Yes No
b. Teaching students of various cultural backgrounds Yes No
c. Teaching students with limited English proficiency Yes No
d. Teaching students of different sexual orientations or gender identities Yes No
e. Using interactive teaching methods (e.g., role plays or cooperative group activities) Yes No
f. Encouraging family or community involvement Yes No
g. Teaching skills for behavior change Yes No
h. Classroom management techniques (e.g., social skills training, environmental modification, conflict resolution and mediation, and behavior management) Yes No
i. Assessing or evaluating students in health education Yes No

20. Would you like to receive professional development on each of these topics? (Mark yes or no for each topic.)

Topic Answer
a. Teaching students with physical, medical, or cognitive disabilities Yes No
b. Teaching students of various cultural backgrounds Yes No
c. Teaching students with limited English proficiency Yes No
d. Teaching students of different sexual orientations or gender identities Yes No
e. Using interactive teaching methods (e.g., role plays or cooperative group activities) Yes No
f. Encouraging family or community involvement Yes No
g. Teaching skills for behavior change Yes No
h. Classroom management techniques (e.g., social skills training, environmental modification, conflict resolution and mediation, and behavior management) Yes No
i. Assessing or evaluating students in health education Yes No

PROFESSIONAL PREPARATION

21. What was the major emphasis of your professional preparation? (Mark one response.)
Health and physical education combined
Health education
Physical education
Other education degree
Kinesiology, exercise science, or exercise physiology
Home economics or family and consumer science
Biology and other science
Nursing
Counseling
Public health
Nutrition
Other

22. Currently, are you certified, licensed, or endorsed by the state to teach health education in middle school or high school? (Mark one response.)
Yes
No

23. Including this school year, how many years of experience do you have teaching health education courses or topics? (Mark one response.)
1 year
2 to 5 years
6 to 9 years
10 to 14 years
15 years or more