Shape Up SF Collective Impact Reporting: Healthy Beverage PSE Strategies

Please enter the following information for any policies, systems, or environmental strategies your organization has implemented to reduce sugary drink consumption and increase water consumption since July 1, 2016.

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* 1. What organization are you with?

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* 2. What is your name?

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* 3. What is your email address?

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* 4. Briefly describe any policy, systems, or environmental strategies your organization is working on to reduce sugary drink consumption and increase tap water consumption.

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* 5. Which statement best describes how far along your organization is in implementing the above strategies? Please choose one.

Discussion and/or interest from leadership.

Actively gathering input and/or drafting a policy.

Policy has been approved but not yet implemented.

Policy has been approved and we have begun implementation - not complete roll out and/or compliance.

Policy has been approved and is fully implemented.

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* 6. Estimate the annual impact of this policy, systems, or environmental strategy (Ex. 20 staff, 100 community members)

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* 7. Will members of the following group be impacted? Select all that apply.

Black, Latino, Asian, and/or API youth 11 and under

Black, Latino, Asian, and/or API youth 12-17 years old

Black, Latino, Asian, and/or API adults

Providers (health care, teachers, childcare, etc.) who work primarily with youth or adults who are Black, Latino, Asian, and API

None of the above

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* 8. We want to understand if or how Shape Up SF contributed to making it happen. Please let us know if you agree or disagree with the following statements:

	Agree	Disagree
This activity would not have happened if SUSF hadn't prioritized reducing consumption of sugary drinks and increasing water consumption.	This activity would not have happened if SUSF hadn't prioritized reducing consumption of sugary drinks and increasing water consumption. Agree	This activity would not have happened if SUSF hadn't prioritized reducing consumption of sugary drinks and increasing water consumption. Disagree
This activity would not have happened without funding, TA, or other support/encouragement from SUSF.	This activity would not have happened without funding, TA, or other support/encouragement from SUSF. Agree	This activity would not have happened without funding, TA, or other support/encouragement from SUSF. Disagree

Any comments about how Shape Up SF supported this activity?

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* 9. What advice do you have for other organizations considering PSE strategies to reduce consumption of sugary drinks and increase water consumption? What leads to success?