Thank you for your interest in this survey! It is brought to you by the American Cleaning Institute, serving the growth and innovation of the U.S. cleaning products industry by advancing the health and quality of life of people and protecting our planet.

We are looking to gain insight from school administrators into what is being done on hand hygiene education in schools across the country today, as well as what could be done. This will inform our Healthy Schools, Healthy People program, created to improve hand hygiene habits among students through an education-based effort to make hand cleaning an integral part of the school day. Its goal is to help prevent the spread of infectious disease and reduce related absenteeism.

That's why we need your help. We greatly appreciate your feedback!

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* 1. What hand hygiene educational programming or resources do your schools currently use?

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* 2. What educational resources would be most helpful for you and your school system to do more to help instill good hand hygiene habits in students, keeping kids healthy and reducing absenteeism?

(Rank 1 to 6 with 1 being most helpful and 6 being least helpful.)

  1. Classroom materials (posters, stickers, activity pages)
  2. Online webinars
  3. Online network to share ideas
  4. Cleaning supplies (soap, hand sanitizer, drying towels)
  5. Resources to send to parents (factsheets, handouts)
  6. Teaching toolkits and lesson plans

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* 3. What other educational components would you recommend be included in a comprehensive illness prevention program addressing hand hygiene and cleaning in schools?

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* 4. What do you see as the biggest barrier to instilling hand hygiene habits in your students?

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* 5. What access issues do you face in terms of hand hygiene? (choose all that apply)

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* 6. What cues or reminders do you need or want more of in your schools? (choose all that apply)

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* 7. What interventions do you think would have the most impact on sustained improvement of hand hygiene habits and subsequent reduction in the spread of illness?

(Rank 1 to 8 with 1 being most helpful and 8 being least helpful)

  1. Visual reminders
  2. Education on when, how, and why to wash hands
  3. Hand sanitizer stations to supplement wash stations
  4. Peer hygiene monitors
  5. Scheduled time to wash hands (e.g., after bathroom, before lunch)
  6. Cleaner wash stations
  7. More visually appealing wash stations
  8. More frequent replenishment of cleaning supplies

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* 8. Keeping in mind SMART (specific, measurable, achievable, relevant, timely) goals, what would you ideally like to be able to measure to determine the success of a hand hygiene intervention after 1 year?

(Rank 1 to 5 with 1 being most important and 5 being least important.)

  1. Less student sick days, especially during cold/flu season
  2. Observation of increased handwashing among students
  3. Student self-reporting of more frequent handwashing
  4. Increased rate of soap dispensing (soap use trackers)
  5. Increased/more consistent replenishment of cleaning supplies

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* 9. Given time and resource constraints, what do you realistically think your schools would be able to collect in terms of available data for outcome measuring?

(Rank 1 to 5 with 1 being most practical and 5 being least practical.)

  1. Observation of increased handwashing among students
  2. Student self-reporting of more frequent handwashing
  3. Increased rate of soap dispensing (soap use trackers)
  4. Less student sick days, especially during cold/flu season
  5. Increased/more consistent replenishment of cleaning supplies

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* 10. How would you rate the general cleanliness of your school system?

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* 11. Are key germ-transmitting surfaces (like door handles, tables, water fountains, etc.) in your schools regularly sanitized?

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* 12. What do you think would make the biggest difference in improving your school system's cleaning regimens?

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* 13. Please provide any additional comments or feedback you may have on hand hygiene and/or school cleaning: