ReCharge! Energizing After-School

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ReCharge! Energizing After-School is a fun-for-kids program designed for students in grades 2 to 6 to learn about and practice good nutrition and physical activity habits. A collaboration with the National Football League, ReCharge! is a complete, easy-to-use kit with lesson plans, equipment, information for families and much more.

Learn more today to make the most of ReCharge! with your students!

Provide Feedback

Your opinions matter! If you have used ReCharge! Energizing After-School in your area, please take a few minutes to complete this survey and tell us what you think! Your feedback will help us enhance the program offerings. Thanks!

Part I: Background Information

1. What type of organization do you work for?

(Select one of the available choices or enter a different value.)
Question - Not Required -

2 .What is your title/position at your organization?

(Select one of the available choices or enter a different value.)
Question - Not Required -

Question - Not Required - 3. What state do you work in?

Question - Not Required - 4. Number of years working with students in grades K-8:

Question - Not Required - 5. Gender: Male
Female

6. From what source did you receive the ReCharge! curriculum?

(Select one of the available choices or enter a different value.)
Question - Not Required -

Question - Not Required - 7. Have you previously implemented the ReCharge! curriculum? Yes
No (skip pattern to #8)

Question - Not Required - 7a. In what context have you used the ReCharge! curriculum in the past? (Check all that apply)

	During after-school hours at a school
	During after-school hours at a community site (e.g., Boys and Girls Club)
	During the school day
	During a summer program
	During In-home daycare

Question - Not Required - If not listed above, please describe:

Question - Not Required - 7b. How does the new ReCharge! curriculum compare to the original curriculum? I liked the original curriculum better.
They are both about the same.
The new curriculum is somewhat of an improvement over the original curriculum.
The new curriculum is definitely an improvement over the original curriculum.
The new curriculum is great, a real improvement over the original curriculum.

Question - Not Required - 8. Did you participate in a ReCharge! Training this year? Yes, I participated in an in-person training? (skip to 8a)
Yes, I participated in an on-line training (skip to 8b)
No (skip to #9)

Question - Not Required - 8a. If yes, how useful was the in-person training? Not useful at all
Somewhat useful
Useful
Very useful
Did not do this training

Question - Not Required - 8b. If yes, how useful was the on-line training? Not useful at all
Somewhat useful
Useful
Very useful
Did not do this training

Question - Not Required - 9. Did other people involved with ReCharge! at your site participate in a ReCharge! Training this year?

Question - Not Required - 10. Why did you decide to implement ReCharge!? (Check all that apply)

	We were looking for a way to get our students moving more.
	We were looking for a way to get our students to be more aware of how to make better food choices.
	We were looking for fun and educational activities.
	We wanted to increase the focus on health in our program.
	We received a copy of ReCharge! so we thought we would try it.

Question - Not Required - If not listed above, please describe:

Part II: Use of ReCharge! (Please base your responses to the remaining questions on your most recent use of the ReCharge! curriculum.)

Question - Not Required - 1. In what context did you use ReCharge!? (Check all that apply)

	During after-school hours at a school
	During after-school hours at a community site (e.g., Boys and Girls Club)
	During the school day at school
	During In-home day care
	During summer or day camp

Question - Not Required - If not listed above, please describe:

Question - Not Required - 2. For what period of time did you implement ReCharge!? 1 month
2-3 months
4-5 months
6-7 months
8-9 months
More than 9 months

Question - Not Required - 3. On average, how often did you implement ReCharge!? Once per week (as recommended for full school year implementation)
Two times per week (as recommended for half-school year or summer/day camp implementation)
Once per month
Two times per month

4. Approximately how many students consistently participated (i.e., in at least 6 sessions) in ReCharge!?

Question - Not Required - Total Number of Students:

Question - Not Required - Number of Boys:

Question - Not Required - Number of Girls:

Question - Not Required - 5. Please check the grade level(s) of students who consistently participated (i.e., in at least 6 sessions) in ReCharge!:

	Pre K
	1
	2
	3
	4
	5
	6
	7
	8

Across all grade levels of students that participated in your program, please indicate the approximate number of students for each category listed below:

Question - Not Required - African American/Black - Total Number

Question - Not Required - African American/Black - Number of Boys

Question - Not Required - African American/Black - Number of Girls

Question - Not Required - American Indian/Alaskan Native - Total Number:

Question - Not Required - American Indian/Alaskan Native - Number of Boys:

Question - Not Required - American Indian/Alaskan Native - Number of Girls:

Question - Not Required - Asian or Pacific Islander - Total Number:

Question - Not Required - Asian or Pacific Islander - Number of Boys:

Question - Not Required - Asian or Pacific Islander - Number of Girls:

Question - Not Required - Latino/Hispanic - Total Number:

Question - Not Required - Latino/Hispanic - Number of Boys:

Question - Not Required - Latino/Hispanic - Number of Girls:

Question - Not Required - Multi Racial - Total Number

Question - Not Required - Multi Racial - Number of Boys

Question - Not Required - Multi Racial - Number of Girls:

Question - Not Required - White/Caucasian - Total Number:

Question - Not Required - White/Caucasian - Number of Boys:

Question - Not Required - White/Caucasian - Number of Girls:

Part III: Experience Implementing ReCharge!

Question - Not Required - 1. Overall, how satisfied are you with the ReCharge! curriculum? Very satisfied
Satisfied
Somewhat satisfied
Not satisfied at all

Question - Not Required - 2. Overall, how well-received was the NFL Football Theme for the Recharge! activities? Very well-received
Moderately well-received
Somewhat well-received
Not well-received at all

3. Which of the following most accurately describes how you implemented ReCharge!?

(Select one of the available choices or enter a different value.)
Question - Not Required -

Question - Not Required - 3a. If you checked 'other' in the previous question, in what other way(s) did you implement ReCharge!?

(Maximum response 255 chars, approx. 5 rows of text)

4. For each of the following ReCharge! components, please indicate how useful it was to you. Please mark, ‘Did not use’ if you did not use a particular component.

Question - Not Required - Student Playbook Not useful at all
Somewhat useful
Useful
Very useful
Did not use

Question - Not Required - Tracker Not useful at all
Somewhat useful
Useful
Very useful
Did not use

Question - Not Required - Home Field Advantage Not useful at all
Somewhat useful
Useful
Very useful
Did not use

Question - Not Required - Field Day Not useful at all
Somewhat useful
Useful
Very useful
Did not use

Question - Not Required - Food Models Not useful at all
Somewhat useful
Useful
Very useful
Did not use

Question - Not Required - Poster Not useful at all
Somewhat useful
Useful
Very useful
Did not use

Question - Not Required - Healthy Snack Guide Selection Not useful at all
Somewhat useful
Useful
Very useful
Did not use

Question - Not Required - Recharge! Website Not useful at all
Somewhat useful
Useful
Very useful
Did not use

Question - Not Required - Evaluation Tools Not useful at all
Somewhat useful
Useful
Very useful
Did not use

5. For each of the following ReCharge! Student Activities, please indicate how useful it was to you and whether you modified the activity. Please mark, ‘Did not use’ if you did not use a particular activity.

Question - Not Required - Teamwork Soup Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Five Food Groups Roster Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Two Ball Juggling Relay Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Energy In - Energy Out Tag Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Five Food Groups Search and Rescue Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Energy In - Energy Out Collage Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Dash, Drop, React Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Serving Up Nutrition Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Breakfast Combos Football Toss Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Intercepting Nutritious Snacks Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Spin and Move Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Mix It With Milk Party Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Get Into The Game Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Ultimate Football Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

6. For each of the following ReCharge! "Going Further" Downloadable Activities, please indicate how useful it was to you and whether you modified the activity. Please mark, ‘Did not use’ if you did not use a particular activity.

Question - Not Required - Tossing for a Team Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Fueling with the Five Food Groups Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - "Energy In": Scoring for Good Nutrition with the Five Food Groups Lineup Not useful at all
Somewhat useful
Useful
Very useful
Did not use

Question - Not Required - "Energy Out": Diamond Relay Not useful at all
Somewhat useful
Useful
Very useful
Did not use

Question - Not Required - After-school Training Camp Not useful at all
Somewhat useful
Useful
Very useful
Did not use

Question - Not Required - Design a Super Bowl Cereal Box Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Keeping Your Eye on the Goal Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Run to Daylight Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Plays for Eating Healthy and Staying Active Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - Create a Game Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

Question - Not Required - ReCharge! Field Day Not useful at all
Somewhat useful
Useful
Very useful
Modified Activity
Did not use

7. When implementing ReCharge!, did you share the following information with parents?

Question - Not Required - ReCharge! flyer describing the purpose and goals of the program

Question - Not Required - First Down Home Field Advantage Newsletter (introduces the program and the "Energy In-Energy Out" concept)

Question - Not Required - Second Down Home Field Advantage Newsletter (addresses making healthy decisions about eating and physical activity)

Question - Not Required - Third Down Home Field Advantage Newsletter (focuses on goal-setting and highlights the "Energy In-Energy Out" Tracker)

Question - Not Required - Fourth Down Home Field Advantage Newsletter (discusses teamwork and parents/caregivers as role models)

Question - Not Required - Student Playbook

Question - Not Required - Invitation to ReCharge! Field Day

Part IV: Impact of ReCharge!

Question - Not Required - 1. Do you think that participating in ReCharge! has helped your students eat a more balanced diet?

Question - Not Required - 2. Do you think that participating in ReCharge! has helped your students be more physically active?

Question - Not Required - 3. Has implementing ReCharge! impacted how you organize other activities/programs in terms of the snacks you serve?

Question - Not Required - 3a. In what ways specifically has implementing ReCharge! impacted how you organize other activities/programs in terms of the snacks you serve?

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - 4. Has implementing ReCharge! impacted how you organize other activities/programs in terms of increasing the amount of physical activity your students receive?

Question - Not Required - 4a. In what ways specifically has implementing ReCharge! impacted how you organize other activities/programs in terms of increasing the amount of physical activity your students receive?

(Maximum response 255 chars, approx. 5 rows of text)

Part V: Additional Feedback

Question - Not Required - 1. What do you see as the overall strengths of the ReCharge! curriculum?

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - 2. What do you see as the overall limitations of the ReCharge! curriculum?

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - 3. Please use the space below to provide a success story or quote that illustrates how Recharge! has helped your students and/or program:

Question - Not Required - 3a. May AFHK use your story or quote in its promotional materials?

Question - Not Required - 4. Please use the space below for any additional comments that may help AFHK to improve the next printed version of ReCharge!:

(Maximum response 255 chars, approx. 5 rows of text)

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