Contact Email Address:
  

  School/Daycare:
  

  Title:
  

1. a.) Describe (150 - 250 words maximum) your project activities during the Drop the Pop Challenge. Highlight innovative or particularly successful activities as well as the educational component.
  

  b). Of all the project activities you did, would you recommend any for other schools or daycares to try?

  Yes No

If yes, please describe.
  

  c.)How many individuals took part in the challenge?

    Students/Children:
    Teachers:
    Others:

2. How long has your school/daycare participated in Drop the Pop?
    (Check one response only)

   This is the First Year (2012)
   Two Years
   Three Years
   Four Years
   Five Years
   Six Years
   Seven Years
   Not Sure

3. a) Was there anything or anyone that helped make it easier for you to run your project this year? If yes, please describe.
    

  b)Was there anything that made it difficult for you to implement Drop the Pop?
(Check all responses that apply)

   No, it was easy to run
   Lack of funding
   Lack of other resources
   Lack of school/teacher interest
   Lack of student interest
   Not enough time
   Too many other commitments

   Other (Please Describe)
    

4.  a) Which of the following partners (groups, businesses, and/or individuals) supported your Drop the Pop project this year?
    (Check all responses that apply)

   Local grocery store
   Band/hamlet office
   Community Organization
   Dental Therapist
   Nutritionist/Dietitian
   Health centre
   CHR
   Elders
   Parents
   Students
   Breakfast program

   Other (Please Describe)
    

    b) In what way(s) did they contribute to your schools project?
    Check all responses that apply)

   Provided funding
   Provided prizes
   Provided coupons for a healthy drink/snack
   Provided information about traditional/country foods
   Helped promote/support the project

   Other (Please Describe)
    

   c) Which of these contributions do you feel was the most important to running your school's/daycare's project and why?
    

5.  a)Which of the following Drop the Pop materials or resources did your school/daycare use this year?
(Check all responses that apply)

   Posters
   Teaching manual/learning units/guidebook
   Education kit/package
   Brochure, etc.
   Participation prizes/incentives/coupons
   Drop the Pop website

  Other (Please Describe)
    

   b) Which of these materials did you find most useful?
    

   c) What other materials or resources do you need to run a successful project?
    (Please list)
    

6.  a). Do you think the students brought healthier beverages and foods to school/daycare during Drop the Pop?

  Yes No

   b) If yes, what types of healthy beverages and foods did they eat at school/daycare?
    

7.  a). In your opinion, has the awareness of the importance of healthy eating and lifestyle choices increased among your school's/daycare's administration and staff as a result of Drop the Pop?

  Yes No

8. As a result of Drop the Pop, what changes has your school/daycare made related to healthy eating and lifestyle choices?
(Check all responses that apply)

   School/daycare developed a formal, written food policy
   Healthy foods/beverages sold in school/daycare (e.g., canteen, vending machines)
   Healthy foods/beverages sold at school/daycare functions (e.g., dance, tournament)
   Healthy foods used as fundraisers
   Staff model healthy food choices while at school/daycare
   There havent been any changes

  Other (Please Describe)
    

9.   What suggestions do you have for changing or improving Drop the Pop?
    

10.  Did anything happen as a result of your school's/daycare's involvement in Drop the Pop that came as a surprise to you?
If yes, please describe.
    

11.  Is there anything else about the project that you feel is important for us to know?
    

12.  If your school/daycare receives the 2012 Drop the Pop Award, how will you use the award funding?
    

13.  Please share a Drop the Pop success story with us.
    

14.  We also need your final budget. Please complete and attach: