Policy & Program


School-Based Health Centers - Implementation Tools
Health needs survey for elementary school principals (Community School District #15, Brooklyn, NY)

School


Principal



1) In your opinion what are the greatest student health problems/concerns in your school? (please check all that apply)

__asthma
__nutrition
__dental health
__Immunizations
__mental health
__smoking
__family problems
__violent and aggressive behavior
__lead
__lice
__other (please specify)



2) What health education topics do you feel are lacking or need to be enhanced? For instance:
__asthma
__ substance abuse
__nutrition
__decision making
__depression
__conflict resolution
__stress management
__violence prevention
__smoking
__AIDS/HIV education
__family living/sex education
__other (please specify)


3) Would you be interested in having community based organizations provide specific health education to students in your school such as: asthma, nutrition, lice, dental health, etc.?

Yes _______ No _______

Suggested topics




4) Do you think teachers would be interested in being trained in omprehensive health education and wellness or on specific health education topics?
Yes _______ No _______

5) Do you think that parents would be interested in attending health education workshops?
Yes _______ No _______

Suggested topics