Measurement Tools Checklist for Objectives Phase of Evaluation: Process Administered by: Cara A.

A. Meder Assessing: Whether or not I succeeded in completing educational, administrative, and resource objectives by myself for the successful implementation of the program. Date of Administration: October 29, 2013

Checklist of Objectives Administrative Objectives: I will meet with the head of the Student Wellness Center six weeks in advance in order to to collaborate on different ways to reach the students. I will contact the Universitys president two months in advance to discuss a way to reach every University student, I will design flyers and hang them up and distribute them throughout the Universitys campus. I will hold sign-ups ten days prior to the start of the program. I will email post-program surveys one week after the completion of my program to the participants. I will measure the success of my program two weeks after the programs completion. Educational Objectives: Members of the target population will be given flyers that give information regarding daily nutritional requirements. The members of the target population that choose to participate will be shown a demonstration that gives possible options from the cafeteria that fulfills daily nutritional needs. Participants will be given a list of possible meal combinations that meet daily nutritional requirements.

 Members will be placed into small groups to try to make up their own healthy meal options. Resource (Environmental) Objectives: All members will be given a small meal plan for the Universitys cafeterias.

Name: _______________________________ Directions: This survey is confidential. Please complete the questions as honestly as possible. Do not skip any questions unless told to do so. 1. What is your age? __ 18-19 years old __ 20-21 years old __ 22-23 years old __ OtherFill in age: Do you have a meal plan with the University? __ Yes __ No How many times a week do you eat in one of the cafeterias? __ 0 __ 1-5 __ 6-10 __ 11-15 __ 16 or more Are you familiar with the food pyramid/my plate __ Yes __ No On average, do you get the daily recommended amount of fruits/ vegetables a day? __Yes __ No

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Do you believe the cafeterias offer enough healthy options that help you to meet your daily nutrition requirements? __ Yes __ No

Post-Program Survey (Post-Test) Phase of Evaluation: Impact and Outcome Administered by: Cara A. Meder via e-mail Assessing: 50 participants in the programUniversity of Cincinnati students Date of Administration: (one week after the program ends)

Name: _______________________________ Directions: This survey is confidential. Please complete the following questions as honestly as possible. Do not skip any questions unless told to do so. 1. Do you currently take the time to think about what foods you are getting in the Universitys cafeterias. __ Yes __ No Do you tan in a tanning salon on a regular basis (At least once per week) __ Yes __ No Do you consistently __ 1-2 times __ 3-4 times __ 5-6 times __ 7 or more timesif more than 7, please specify: Are you aware of the benefits of eating nutritious meals? __ Yes __ No

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5. On a scale from 0 to 5, one being the least amount of knowledge and five being the most, please rate the amount of knowledge on how to build a nutritious meal that you gained from this program. (Circle One) 0 1 2 3 4 5

Meeting with Key Informants Phase of Evaluation: Process Administered by: Cara A. Meder Assessing: University President, head of the Universitys Wellness Center, and 50 University of Cincinnati students Date of Administration: two weeks after program completion (one week after post-program survey completion)

Meeting with Key Informants Do you like the way in which the program was set up and administered? Is there anything you did not like about the program administration? If so, list. How do you feel about the amount of meetings? Too many? Too few? How do you feel about the lengths of the meetings? Too short? Too long? Do you feel that the time of year that the program was implemented was effective? If not, what would be a better time? Did you feel comfortable in the environment that the program took place in? Would you add anything to the content of the program in the future? If so list the content. Would you remove any content from this program? If so list the content. Any additional comments?