The characteristic questions, which cover much of the survey, ask you to respond twice to each question. The first response indicates how important each program aspect is to you. The second response indicates the extent to which each program aspect exists in your school. Please provide both responses to each of these types of questions.

Complete this section by indicating on the left the extent to which each characteristic exists and, on the right, your estimation of how important this characteristic should be to your school district.

The components questions consist of a chart listing major child and adolescent health problems on the left and school health program components across the top. Check the boxes of all the health program components in your district that are routinely involved in either preventing each of these health problems or addressing them if and when they occur. Check "NA" in the boxes of any health program that does not exist in your school district.

Check the appropriate box (yes, no, I don’t know) regarding your school policy for each topic.