Initial Survey

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We appreciate your interest in providing healthy food choices at concession stands, and hope that this guide will be of help to you. To access the guide please click on the following link:

http://www.public-health.uiowa.edu/prc/ConcessionStandToolkit/ConcessionStandToolkit2015.pdf

We also invite you to participate in a research study. The purpose of the study is to learn about who is interested in making concession stand changes and whether the how-to-guide helps with this process. We hope that you will be willing to both use the guide and participate in this study. We anticipate that about 120 people will take part in this study at the University of Iowa.

If you agree to participate, we would like you to complete a 5 minute initial survey. These questions will ask about why you are interested in the guide and the type of concessions you wish to change. We will ask if you are willing to complete a second survey in 3 months, and we will email you a link to that survey later (if you are willing to provide this additional information). You will have the option of keeping your survey anonymous and providing only an email that will not be connect in any way to your answers. The computer will then send you an automated email request to do a follow up survey in 3 months. If you prefer to do the survey by phone you can provide your contact information and we will contact you in 3 months to do the survey by phone. The survey asks about how the concession stand changes are going and what changes were made.

You are free to answer or skip any questions on the initial survey or decline to participate in the follow-up survey.

We will keep the information you provide confidential, however federal regulatory agencies and the University of Iowa Institutional Review Board (a committee that reviews and approves research studies) may inspect and copy records pertaining to this research. All answers to your surveys will be coded with only an ID number (not your name) and will be stored separately from your contact information. If we write a report about this study we will do so in such a way that you cannot be identified.

There are no known risks from being in this study, and you will not benefit personally. However we hope that others may benefit in the future from what we learn as a result of this study.

You will not have any costs for being in this research study.

You will not be paid for being in this research study.

Taking part in this research study is completely voluntary. If you decide not to be in this study, or if you stop participating at any time, you won’t be penalized or lose any benefits or which you otherwise qualify.

If you have any questions about the research study itself, please contact Helena Laroche MD, University of Iowa Hospitals & Clinics, 200 Hawkins Drive, Iowa City, IA 52242. 319-356-8555. If you experience a research-related injury, please contact: Helena Laroche MD, University of Iowa Hospitals & Clinics, 200 Hawkins Drive, Iowa City, IA 52242. If you have questions about the rights of research subjects, please contact the Human Subjects Office, 105 Hardin Library for the Health Sciences, 600 Newton Rd, The University of Iowa, Iowa City, IA 52242-1098, (319) 335-6564, or e-mail irb@uiowa.edu. To offer input about your experiences as a research subject or to speak to someone other than the research staff, call the Human Subjects Office at the number above.

Thank you very much for your consideration. By completing the survey you indicate your willingness to participate in the study.

Sincerely,

Christina J. Leichty

Helena Laroche MD

Are you 18 or over?

* must provide value

Yes

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You cannot take the survey unless you are 18 or older.

Please follow this link for the guide

http://www.public-health.uiowa.edu/prc/ConcessionStandToolkit/ConcessionStandToolkit2015.pdf

Would you like to take our survey?

* must provide value

Please follow this link for the guide

http://www.public-health.uiowa.edu/prc/ConcessionStandToolkit/ConcessionStandToolkit2015.pdf

Which best describes your position? (Choose all that apply.)

Booster club / Group member who does concessions

Public health department employee

School employee

Concerned parent

Concerned community member

City, county or state employee

Other

Please specify which booster club or group.

Please specify your position at the school.

Please specify your city, county, or state employment agency.

Please specify the 'other' position you hold.

The concession stand I hope to change is at a

Please specify the 'other' location you hope to change.

What town or city is this concession stand located in?

* must provide value

What is the name of the school, swimming pool, etc.?

Are you satisfied with your current concession stand?

Yes

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Why do you want to improve/change the concession stand? (choose all that apply)

I am a parent concerned about the health of my child(ren)

I am a parent concerned about having healthy options at concession stands

I am a community member interested in having healthy options at concession stands

I dislike the current concession stand food options

Other (specify below)

Please specify the 'other' reason you have to improve / change the concession stand.

What are you hoping to improve/change within the concession stand? I want to see...

New or updated equipment -what equipment?

Modification to current food options -which ones?

More or new healthier options -examples

Nothing changed

Other

What new / updated equipment do you want?

Expand

Which modifications would you like to make to the current food options?

Expand

Please give examples of the healthier options you want to include.

Expand

What other unlisted changes would you like to implement?

Expand

How did you first learn about this guide?

How did your friend / family member hear about this guide?

Please specify the 'other' source for learning about this guide.

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.