BFNEP Demographic Data Collection Toolkit - Washington State Dept of Health

Here are four different data collections tools that were developed to help you begin collecting demographic information from BFNEP participants. You may use these tools separately, or you can cut-and-paste into your pre-existing surveys. You may also reformat the tools (e.g., increase font size) to meet your individual needs.

1—Observation
This tool is a tally sheet that can be used by nutrition instructors or volunteers to collect information by observing a program. When filling out the tool you may need to provide your best guess or estimate of the total number of people in each category.

2—Individual Format A Landscape
This tool is to be filled-out by individual participants. It can be copied and given to participants separately to fill-out or added to the END of pre-existing questionnaires/surveys.

3—Individual Format B Portrait
This tool is to be filled-out by individual participants. It can be copied and given to participants separately to fill-out or added to the END of pre-existing questionnaires/surveys.

4—Multiple Participants
This tool should be given to individuals who are providing information for group of people or family members (for example—participants at commodity distribution centers, food bank patrons, Head Start, ECEAP, or WIC clients). It can be given to participants as a separate questionnaire or added to the END of pre-existing questionnaires/surveys. You may replace the phrase “family members” with “people” or some other word if it is more appropriate.

The projects and resources listed on this website are provided as examples of what groups across the state are doing to enhance the nutrition and physical activity environment. They are provided as a reference only and are not intended to prescribe or recommend a particular course of action.

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Basic Food Nutrition Education Program
Washington State Department of Health
111 Israel Road SE, P.O. Box 47855
Olympia, Washington, 98504-7855

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Documents posted in .pdf version on the Department of Health Web site will be made available in an alternative format on request to users who are unable to download or view .pdf files on the Web. To request an alternative format, contact: Gail Brandt, email gail.brandt@doh.wa.gov

Last Updated: 03/06/2008 09:49 AM