BC Municipal Recreation Facility Food Environment Audit Tool BC Municipal Recreation Facility Food Environment Audit Tool Personal Information: Name: ___________________________ Position: _________________________ Contact Info: Phone: __________________ Email: _____________________ Facility Information: Facility type (check all that apply): Pool Arena Field House Sports Fields Mixed use ‘events’ facility e.g. (Save-on-Foods Memorial Center ) Recreation Center (programming) Number of full time staff ___________ Number of part time staff___________ Municipality / community / area served __________________________________ Population of area served ___________ Research Contact Information: Patti-Jean Naylor pjnaylor@uvic.ca 250 721-7844 School of Physical Education University of Victoria PO Box 3015 STN CSC Victoria, BC V8W 3P1 Canada 1 2 Part A: FOOD PROVISION 1. Does your facility have a food or beverage service or other food related contracts with any suppliers? (For example, many facilities have exclusive contracts with companies like Pepsi™ or Coca-Cola™ to stock vending machines. Other facilities may contract out food service to companies such as Subway™.) Please tick one. Yes No IF YES - Please identify the company or companies that have such contracts with your facility. Also, please tick whether or not these are exclusive contracts. Exclusive Exclusive Exclusive 1. 2. 3. Not Exclusive Not Exclusive Not Exclusive 2. Does your facility have a corporate incentive program (e.g. rental fees) in place involving food or beverage items or service? Please tick one. Yes No IF YES - Please identify the company or companies with which you have an incentive program. 1. 2. 3. 3. Does your facility have food or beverage company advertisements or logos on site or on facility property? Please tick one. Yes No IF YES - Please identify the company or companies. 1. 2. 3. 3 4. Does a food or beverage corporation sponsor any Programs and/or Activities at your facility? Please tick one. Yes No IF Yes - Please identify the company or companies. 1. 2. 3. 5. Do foundations such as the BC Dairy Foundation sponsor Programs and Activities at your facility? Please tick one. Yes No IF Yes - Please identify the foundation(s). 1. 2. 3. 6. What type of food selling facilities are on site? Check all that apply. Cafeteria – Publicly funded and/or operated Cafeteria - Privately operated contractor Snack Bar – Publicly funded and/or operated Snack Bar- Privately operated contractor Snack Vending Machines – publicly funded and / or operated Snack Vending Machines – privately operated /contractor Beverage Vending Machines – publicly funded and / or operated Beverage Vending Machines – privately operated / contractor Fund-raising food tables by clubs (intermittent) 7. Is there influence or control from facility staff in regards to what types of foods are sold? Please tick one. Yes No 4 8. Are children in out-of-school or daycare programs provided meals or snacks on site? Please tick one. Yes No If YES go to Questions 9, 9a, 9b, & 9c If NO skip to Question 10 9. Tick the best description of the meals that you provide for out-of-school or daycare programs free sponsored or provided within the cost of the program 9a) Please describe how the meals are provided and who provides them. ______________________________________________________________________________ ______________________________________________________________________________ 9b) Is there input from facility staff in regards to what types of meals and/or snacks provided for the children? Yes No 9c) Which, if any, of the following are limitations to purchasing healthy food? a. b. c. d. e. Budget Storage Preparation Preservability Other (Please specify) Yes No Yes No Yes No Yes No ________________ 10. Do you have any policies or standards in place governing the types of food sold or provided for child/youth programs on site? If so please describe these and if you have a copy please attach to this questionnaire. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 5 PART B: VENDING MACHINES 1. How many BEVERAGE vending machines are in the facility? _____________ If none, → go to QUESTION 3. 2. Rate the accessibility of the beverage vending machines to children. Circle the applicable number. Limited 1 Unlimited 2 3 e.g. located in low traffic areas; not available during facility hours 4 e.g. located in high traffic areas; no restrictions on times available 3. How many SNACK vending machines are in the facility? _____________ If none, → go to Part C. 4. Rate the accessibility of the snack vending machines to children. Circle the applicable number. Limited 1 e.g. located in low traffic areas; not available during facility hours Unlimited 2 3 4 e.g. located in high traffic areas; no restrictions on times available 6 PART B: BEVERAGE VENDING MACHINES 5. MAKE SURE YOU INCLUDE ALL OF THE MACHINES IN THE FACILITY - For each machine, count the number of selections in each category and record this number in the table below. If there are selections in the machines that do not fit in any of the categories listed, please specify these under the category “Other”. Please make and complete additional copies of this table, if necessary. Beverage Categories Sugar* Sweetened Caffeine-Free Drinks *“Sugar” includes all added sugars: sugar, sucrose, fructose, dextrose, maltose, syrups (cane, rice, corn, maple), high fructose corn syrup, honey. Sugar Sweetened Caffeinated Drinks Artificially Sweetened Caffeine-Free Drinks Water 100% fruit or vegetable juice, no added sugars, unseasoned 100% fruit or vegetable juice, unsweetened, lightly seasoned 100% fruit or vegetable juice, unsweetened, regularly seasoned Milk Basic flavoured milk drinks Candy Bar Flavoured milk drinks, milkshakes Coffee containing milk drinks Regular Coffee, black tea, green tea Decaffeinated coffee, tea, herbal teas, etc. Other (please specify) Other (please specify) Other (please specify) Total Number Of Selections In Each Description Caffeine-Free Colas; All other Pop except Barq’sTM Root Beer; Caffeine-Free Ice tea; SobeTM, Hot Chocolate, Sports drinks (e.g. PoweradeTM); Fruit Punch/Drink/Cocktails (e.g. Five-aliveTM, SnappleTM, Tropicana TwisterTM, V8 SplashTM, FruitopiaTM), Flavoured water (sweetened) Regular Colas; Barq’sTM Root Beer; Ice tea; Caffeinated Drinks like SobeTM Adrenaline Rush, Red BullTM, etc Diet Caffeine-Free Colas; all other Diet Pop except Diet Barq’sTM Root Beer; Caffeine-Free Diet Ice tea; Diet SobeTM, Diet Hot Chocolate, Diet Fruit Punch/Drink/Cocktails, Diet Flavoured water (artificially sweetened) (include unsweetened flavoured water) (e.g. 100% Apple Juice, 100% Juice combos) (eg. V8 Original Low Sodium TM) (eg. tomato juice, V8 OriginalTM) (plain white milk) (chocolate, strawberry etc.) (eg. Starbucks TM) Machine Machine Machine Machine Machine Machine Machine #1 #2 #3 #4 #5 #6 #7 7 PART B: SNACK VENDING MACHINES 6. MAKE SURE YOU COUNT ALL MACHINES IN THE FACILITY - For each machine, count the number of items in each snack category and record this number in the table below. If there are selections in the machines that don’t fit within any of the categories listed, specify these under the category “Other”. Please make and complete additional copies of this table, if necessary. Snack Vending Categories Cheesies; Potato/corn/wheat or rice chips or crackers (fried), bag size 40 g or less Cheesies; Potato/corn/wheat or rice chips or crackers (fried), bag size more than 40 g Pretzels; popcorn; potato/corn/wheat or rice chips or crackers (baked), bag size 40 g or less Pretzels; popcorn; potato/corn/wheat or rice chips or crackers (baked), bag size more than 40 g Granola/ breakfast/ sports bars with candies, chocolate, sugary cereal, or coating Granola/breakfast/ sports bars without candies, chocolate, sugary cereal, or coating Dried fruit, fruit or vegetable bars (eg. SunRype Fruit Source TM, Rebar TM) Chocolate bars; candies; fruit flavoured Roll- ups™ and gummy-bear type candies Nuts and trail mix, no added sugars Nuts and trail mix, nut bars, with added sugars or honey Pastries; muffins; cookies; squares; donuts; cakes; rice krispie squares Ice cream or frozen yoghurt Other (please specify) Other (please specify) Total Number of Selections in each machine Machine #1 Machine #2 Machine #3 Machine #4 Machine #5 Machine #6 Machine #7 8 7. For only the items listed in the following table, please record the typical price in the snack vending machines. Item Fried snack products such as potato chips, bag size more than 40 g Typical price Baked snack products such as baked potato chips, bag size more than 40 g Chocolate bar or similar candy product Granola/ breakfast bar without candies, chocolate, sugary cereal, or coating PART C: CAFETERIA/ SNACK BAR 1. Do you have a cafeteria or snack bar YES If your facility does not have a cafeteria or snack bar, → go to Part D. NO 2. What are the hours of operation of the cafeteria/snack bar? ________________________ 3. Who operates the cafeteria/snack bar? (e.g. private company, PAC etc.) ____________ 4. Is the cafeteria used as a Teaching Kitchen? Yes No 5. In an average week how many bags of chips are sold? ____________ 6. In an average week how many hot dogs are sold? __________ 7. How often are items with whole grain bread, buns, or pizza crusts offered? Always Sometimes Rarely Never Comments: ______________________________________________________________________________ ______________________________________________________________________________ 9 8. Please conduct a “walk through” of the cafeteria/snack bar at lunchtime and complete the following table. List the food and beverage items served by the categories in the table. The itemization need not be too detailed. Please make and complete additional copies of this table, if necessary. Category Lunch Entrees (e.g. sandwiches, subs, burgers, hotdogs, pasta, pizza, vegetarian stew) Side Orders (e.g. baked or fried french fries, green salad, veggie tray, soup) Beverages (e.g. milk, chocolate milk, 100% fruit juice, fruit flavoured drinks, pop) Desserts/Bakery Items (e.g. date squares, whole grain muffins, jello, cookies, fresh fruit) Food and Beverage Items in the Cafeteria/Snack Bar 10 9. For only the items listed in the following table, please record the regular menu price in the cafeteria/snack bar. If available, please attach a copy of the cafeteria/snack bar menu to the report. Item Large french fries Typical Price Hot dog Meat/tuna or veggie sandwich Side salad or veggies and dip Apple or similar piece of fruit Part D: Food Sale Fundraisers If available, please attach a copy of a typical food order form to the report. 1. During 2005, how many food sale fundraisers (hot dog days, pizza days, PAC lunch) were held at the facility? If none, go to → Part E. 2. Please list the main foods (hot dogs, pizza etc.) and the supplementary foods (pop, chips, ice cream, etc) served at each of the food sale fundraisers during 2005. Event 1. 2. 3. 4. 5. 6. 7. 8. 9. Main Food Items Sold Supplementary Food Items Sold 11 Part E: Facility Food Policies and Guidelines 1. Is there a committee in place to promote healthy eating at the facility? Yes No If yes, please list the titles and positions of all the representatives including both internal staff and external people or agencies. __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 12 2. Please complete the following table describing the current status of food policies and guidelines at the facility. If available, please attach a copy of the facility guidelines and policies for the facility to the report. Facility food policies or guidelines Not Applicable In Place Under Development None/not considering Types of food sold in facility vending machines. Types of food sold in facility cafeterias. Types of food sold at facility stores. Types of food sold at facility special events and field trips. Types of food provided in children’s programs Fundraising by selling food outside the facility. Differential pricing to promote healthy food choices by making them equally affordable. Discouraging the use of food as a reward in programs. Limiting access to less nutritious foods during facility hours. Discouraging the use of food as a reward at events Other: Please specify Other: Please specify 3. If there are food policies or guidelines in place, how are these monitored? __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 13 Part F: Programs and Initiatives 1. Please provide additional information on the facility’s efforts to promote healthy eating and decrease the sale of unhealthy food choices. __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 2. Do you have any programs or initiatives (day, evening or after-school) underway to educate children or the public about healthy food choices? Please list and describe. Name of Program/Activity Program or Activity Description Status (check one) Planned Under Development Being Implemented Planned Under Development Being Implemented Planned Under Development Being Implemented Planned Under Development Being Implemented Planned Under Development Being Implemented Planned Under Development Being Implemented 14 Part G. Availability of Food for Municipal Recreation Employees The next set of questions will ask about social events for employees, the type of food that is made available and whether there are policies or guidelines in place which strongly suggests that food for municipal recreation employees must meet nutritional guidelines. 1. Is there such policy at your recreation facility for: Please circle Internal meetings? YES / NO External meetings ? YES / NO Social gatherings among employees? YES / NO 2a. In the past two weeks, how many internal and external meetings did you attend that provided food? ______ (provide the number) → IF 0 SKIP TO QUESTION 3a 2b Rate the nutritional value of the food provided at meetings: Circle the applicable number 1 2 3 4 None or almost none of the food meets nutritional guidelines 5 All food provided meet nutritional guidelines 3a. How many social gatherings among employees, where food is served, do you typically have in a month? ________ (provide the number) → IF 0 SKIP TO QUESTION 4 3b. Rate the nutritional value of the food provided at social gatherings? Circle the applicable number 1 2 None or almost none of the food meet nutritional guidelines 3 4 5 All food provided meet nutritional guidelines 4. Do your work colleagues bring sweets from home and leave it in the employee’s kitchen for everyone to eat? Please tick YES NO 5. If YES, how often does this typically occur in a month? ____ About once a month ____ About twice a month ____ About three times per month ____ About four times per month ____ More than four times per month Thank you for your time!