· Predominant health problems: Compare at least one health problem to a credible statistic (CDC, county, or state).
· Immunization rates (age appropriate).
· Appropriate death rates and causes, if applicable.
· Prevention programs (dental, fire, fitness, safety, etc.): Does the community think these are sufficient?
· Available health professionals, health resources within the community, and usage.
· Common referrals to outside agencies.
· Indicators of nutrient deficiencies.
· Obesity rates or percentages: Compare to CDC statistics.
· Affordability of food/available discounts or food programs and usage (e.g., WIC, food boxes, soup kitchens, meals-on-wheels, food stamps, senior discounts, employee discounts, etc.).
· Availability of water (e.g., number and quality of drinking fountains).
· Fast food and junk food accessibility (vending machines).
· Evidence of healthy food consumption or unhealthy food consumption (trash, long lines, observations, etc.).
· Provisions for special diets, if applicable.
· For schools (in addition to above):
o Nutritional content of food in cafeteria and vending machines: Compare to ARS 15-242/The Arizona Nutrition Standards (or other state standards based on residence)
o Amount of free or reduced lunch
Elimination (Environmental Health Concerns)
· Common air contaminants’ impact on the community.
· Waste disposal.
· Pest control: Is the community notified of pesticides usage?
· Hygiene practices (laundry services, hand washing, etc.).
· Bathrooms: Number of bathrooms; inspect for cleanliness, supplies, if possible.
· Universal precaution practices of health providers, teachers, members (if applicable).
· Temperature controls (e.g., within buildings, outside shade structures).
· Safety (committee, security guards, crossing guards, badges, locked campuses).
· Community fitness programs (gym discounts, P.E., recess, sports, access to YMCA, etc.).
· Recreational facilities and usage (gym, playgrounds, bike paths, hiking trails, courts, pools, etc.).
· Safety programs (rules and regulations, safety training, incentives, athletic trainers, etc.).
· Injury statistics or most common injuries.
· Evidence of sedentary leisure activities (amount of time watching TV, videos, and computer).
· Means of transportation.
· Sleep routines/hours of your community: Compare with sleep hour standards (from National Institutes of Health [NIH]).
· Indicators of general “restedness” and energy levels.
· Factors affecting sleep:
o Shift work prevalence of community members
o Environment (noise, lights, crowding, etc.)
o Consumption of caffeine, nicotine, alcohol, and drugs
o Homework/Extracurricular activities
o Health issues
· Primary language: Is this a communication barrier?
· Educational levels: For geopolitical communities, use http://www.census.gov and compare the city in which your community belongs with the national statistics.
o Educational offerings (in-services, continuing education, GED, etc.)
o Educational mandates (yearly in-services, continuing education, English learners, etc.)
-Special education programs (e.g., learning disabled, emotionally disabled, physically disabled, and gifted)
· Library or computer/Internet resources and usage.
· Funding resources (tuition reimbursement, scholarships, etc.).
· Age levels.
· Programs and activities related to community building (strengthening the community).
· Community history.
· Pride indicators: Self-esteem or caring behaviors.
· Published description (pamphlets, Web sites, etc.).
· Interaction of community members (e.g., friendliness, openness, bullying, prejudices, etc.).
· Vulnerable populations:
o Why are they vulnerable?
o How does this impact health?
· Power groups (church council, student council, administration, PTA, and gangs):
o How do they hold power?
o Positive or negative influence on community?
· Harassment policies/discrimination policies.
· Relationship with broader community:
o Fire/EMS (response time)
o Other (food drives, blood drives, missions, etc.)
· Relationships and behavior among community members.
· Educational offerings/programs (e.g., growth and development, STD/AIDS education, contraception, abstinence, etc.).
· Access to birth control.
· Birth rates, abortions, and miscarriages (if applicable).
· Access to maternal child health programs and services (crisis pregnancy center, support groups, prenatal care, maternity leave,