A Randomized Trial of a Comprehensive Multi-level Intervention to Increase Water Access and Appeal in Community Recreation Centers
Phase: NA
Conditions: Health Behavior
Sponsor: Philadelphia Department of Public Health

Updated 8/15/2018 
Hydrate Philly Research Protocol 
 
Table of Contents 
Study Design ................................................................................................................................................. 1 
Center Eligibility Criteria ............................................................................................................................... 1 
Center Recruitment: ..................................................................................................................................... 2 
Informed Consent: ........................................................................................................................................ 2 
Randomization .............................................................................................................................................. 2 
Water Safety Testing ..................................................................................................................................... 2 
Procedures .................................................................................................................................................... 3 
Measures ....................................................................................................................................................... 4 
References .................................................................................................................................................... 5 
List of Appendices ......................................................................................................................................... 5 
A. Water Safety Testing Protocol …………………………………………………………………………………………………...6 
B. Paper Backup Data Collection Form …………………………………………………………………………………………10 
C. Quick Data Collection Guide…………………………………………………………………………………………………..…11 
D. Beverage Intake Questionnaire …………………………………………………………………………………………….…12 
E. Fountain Observation Protocol …………………………………………………………………….………………………13 
F. Fountain Observation Form …………………………………………………………………………………………………….19 
G. Fountain Maintenance Survey…………………………………………………………………………………………………20 
 
 
Study Design 
The study is a group randomized trial with n=28 centers. Philadelphia Parks and Recreation (PPR) and 
Get Healthy Philly (GHP) are partnering to implement the proposed study. All proposed study design and 
materials have been reviewed and approved by leadership within both organizations and found to 
comply with other relevant city policies and procedures.  
Center Eligibility Criteria 
For recreation centers to be eligible to participate in Hydrate Philly they must meet the following 
criteria: 
1. Location in a low-income neighborhood in the City of Philadelphia, defined by ≥20% of the 
residents in the zip code at or below Federal Poverty Level; 

Updated 8/15/2018 
2. Site includes both summer and after-school programming 
3. Willingness to comply with City of Philadelphia Healthy Vending standards and discourage SSB 
consumption 
4. Water lines appropriate for installing indoor hydration stations 
5. Willingness to accept randomization 
Center Recruitment: 
Project staff will call potentially eligible recreation center leaders and notify them of the opportunity to 
participate. Project staff will describe the project using an FAQ and sign a Memorandum of 
Understanding, emphasizing what centers will be requested to do (programming and measures) and 
what support and resources will be provided to them (equipment, measurement tools).  
If more recreation centers are eligible and interested than slots are available, 28 centers will be 
randomly selected to ensure fairness. A pilot site will be selected by PPR and project staff according to 
their suitability to start a pilot program in the summer of 2017 to inform the broader program 
development to be implemented in full in the summer of 2018.  
After the initial determination of eligibility and the final selection of 28 centers, project staff will review 
the MOU with the participating center leaders and district managers individually. Signed MOUs will 
serve as confirmation that the sites want to participate. This is needed before informed consent 
procedures in order to allow detailed project planning and needs assessments to occur at the centers, 
which will inform the project team of any facilities and maintenance concerns before data collection is 
scheduled to begin. 
Informed Consent: 
Prior to the collection of any individual data will be obtained from the 1-2 staff members per site that 
will be providing project data. Utilizing the MOU approach and waiting to collect informed consent until 
data collection begins allows for needed project planning information to be collected from the final sites 
before it is known who the particular staff member will be that is providing the data and needs 
consenting. It also lowers the likelihood that a consented staff member will be transferred to a non-
participating site. The data collected for this study are non-sensitive and, except in the case of the staff 
beverage questionnaire, are not individual level data. If consented staff members are transferred, new 
replacement staff members will be consented at the intervention site. 
Randomization 
Randomization to treatment condition will be performed by a coin flip that takes place at the grant 
kickoff event in front of center leaders from the enrolled recreation centers.  
Water Safety Testing 
While there is no reason to believe there are any water safety problems present in the 
recreation centers targeted to receive the water intervention (or more broadly), all of the partners agree 
that testing the water at the recreation centers for lead, as recommended by the EPA, before 

Updated 8/15/2018 
implementing a promotional campaign is essential to the success of the project and beneficial for 
reducing health disparities. Due to the size of PPR recreation centers and the required large 2-inch pipes, 
lead pipes were not used in recreation centers as sometimes has been done in smaller or residential 
facilities. PPR has completed water safety testing of all potable water sources within their recreation 
centers, which showed no lead concerns. For the proposed study, water safety testing for lead will be 
conducted at each proposed source and results will be made available to parents and staff according to 
EPA recommendations. Following EPA recommended sampling procedures (1), all levels will be required 
to be below 10ppb. Lead action levels are consistent with the School District of Philadelphia water 
testing lead action levels and are below the EPA recommended action level of 15ppb for schools and 
child care facilities designated as a public water system (2). 
Water safety testing occurred after installation of the new hydration station and after at least 2 
weeks had passed. This was done so that any problems with the old fixtures would not result in elevated 
level for fountains that were going to be replaced. At least 2 weeks was needed after unit installation to 
allow for “passivation” to occur as recommended by the Philadelphia Water Department (PWD). 
Passivation allows time to pass for the new units to have the “new car smell” go away, which can 
sometimes cause slightly elevated levels of some elements that are not harmful but can affect taste. 
PWD will conduct water safety testing for the pilot site. The Project Coordinator will collect samples for 
all intervention sites and send them for testing at the Penn State Agricultural Analytical Services Lab 
according to the water safety testing protocol (Appendix A). 
Procedures 
Three measurement periods, each lasting 2 weeks, will occur: baseline (July/Aug 2017), mid-
point (March 2018), and post (July/Aug 2018). This timeline allows PPR staff to complete installation of 
hydration stations during the time of year (Sept-Dec) with the greatest staffing flexibility and ensures 
the intervention is ready for implementation during PPR’s peak summer season. The study timeline was 
developed to meet requirements of PPR for installation that does not interfere with recreation center 
pools, which requires the same installation team as the proposed project. 
To minimize staff burden, one staff person per center will be identified to serve as the liaison. 
City employees are prohibited from accepting gifts, inclusive of incentives for participating in additional 
work for a research study. The staff liaison will be allowed to decide what center supplies or equipment 
should be purchased with a $25 gift card at the end of each measurement period to incentivize the 
collection of simple measures. This staff person will respond to text-based surveys each weekday with 4 
questions (attendance, tally of outside beverages, tally of reusable water bottles, and weight of trash as 
described above) and fill out a 15-question survey on their own beverage consumption once per 
measurement period. If the center leader is unable to complete measures by texting or in the case of 
technical difficulties, paper record backups will be recorded (Appendix B). A training on how to 
complete measures will be performed and a quick reference guide for data collection was developed 
(Appendix C). PPR has used this method of requesting their staff to report on PPR pilot initiatives in the 
past for program tracking and program evaluation purposes. 

Updated 8/15/2018 
Measures 
Center water consumption (primary outcome). The primary outcome measure will be each 
center’s total gallons of water taken from hydration stations (or existing water fountains in control 
centers) as measured by objective water flow meters installed for the study. Water flow meters will be 
installed before baseline at all sites for all existing operational water fountains, and research staff will 
record water meter readings at the beginning and end of each 2 weeks measurement period. This 
estimate will only include water from hydration stations (in intervention sites) or existing water 
fountains (in control sites) and will not include other non-consumption water use (eg, pools, bathroom 
sinks, etc). However, some non-consumption water use in water fountains will occur (eg, rinsing cups). 
In addition, ounces of water per person will be estimated by taking the center level water consumption 
estimates for 2 weeks and dividing by total attendance.  
Outside beverages during programs (primary outcome). Outside beverages for after-school and 
summer programs will be measured by the number of youth at the center that bring in an outside SSB or 
purchase a SSB from the center’s vending machine. The center liaison will tally the number of children 
who bring in beverages each weekday for 2 weeks. Daily tallies will be summed to create one center-
level estimate of total outside beverages and will be adjusted for attendance.  
Reusable water bottles (secondary outcome/mediator). The center liaison will record the tally 
of students who brought reusable water bottles to programs following the same approach as outside 
beverages.  
Weight of trash (secondary outcome). Center policies currently require program staff to 
remove trash daily from after-school and summer program rooms after students leave. Daily program 
waste will be measured by the center liaison using a portable luggage scale before removing each day 
for 2 weeks.  
Staff SSB consumption (secondary outcome/mediator). At the beginning of each 2-week 
measurement period and prior to beginning student measures, the staff liaison will complete the 
Beverage Intake Questionnaire (BEVQ-15; Appendix D, (3,4). This questionnaire will be used to estimate 
staff SSB and water consumption using ounces of water and total energy intake from beverages.  
Center attendance (secondary outcome). Attendance will be recorded each weekday by staff 
for 2 weeks, which is already part of their standard reporting requirements. Any secondary impacts on 
attendance from the improvement to facilities or change in procedures will be examined. Attendance 
will also be used as a covariate and as a denominator to estimate water consumption per person.   
Fountain Observations. At post, research assistants will conduct observations of the fountain 
with the flow meter installed (or the new hydration station where the old fountain with a flow meter 
used to be). Appendices E & F describe the protocol in detail and the final observation form.  
 
Maintenance Tracking. Research staff will complete 3-5 calls (lasting approximately 5-10 
minutes) during the study period after hydration stations were installed to assess any maintenance 

Updated 8/15/2018 
problems (e.g., malfunctioning fountains, vandalism, etc). Surveys will be completed with maintenance 
staff or site leaders. A survey was developed for the current study (Appendix G). 
References 
1. US EPA O. Memo Clarifying Recommended Tap Sampling Procedures for the Lead and Copper Rule 
[Internet]. [cited 2016 Sep 21]. Available from: https://www.epa.gov/dwreginfo/memo-clarifying-
recommended-tap-sampling-procedures-lead-and-copper-rule 
2. US EPA O. Testing Schools and Child Care Centers for Lead in the Drinking Water [Internet]. [cited 
2016 Sep 21]. Available from: https://www.epa.gov/dwreginfo/testing-schools-and-child-care-
centers-lead-drinking-water 
3. Hedrick VE, Comber DL, Estabrooks PA, Savla J, Davy BM. The Beverage Intake Questionnaire: Initial 
Validity and Reliability. J Am Diet Assoc. 2010 Aug;110(8):1227–32.  
4. Hedrick VE, Savla J, Comber DL, Flack KD, Estabrooks PA, Nsiah-Kumi PA, et al. Development of a 
brief questionnaire to assess habitual beverage intake (BEVQ-15): sugar-sweetened beverages and 
total beverage energy intake. J Acad Nutr Diet. 2012 Jun;112(6):840–9.  
List of Appendices 
A. Water Safety Testing Protocol 
B. Paper Backup Data Collection Form 
C. Quick Data Collection Guide 
D. Beverage Intake Questionnaire 
E. Fountain Observation Protocol 
F. Fountain Observation Form 
G. Fountain Maintenance Survey 

 
 
Hydrate Philly Recreation Center Water Testing Protocol 
Background: Hydrate Philly is a Robert Wood Johnson Funded grant project bringing together 
Philadelphia Parks and Recreation and Get Healthy Philly to support access to appealing water 
and discourage sweetened beverages in recreation centers. In order to address public 
perceptions of water quality, which can sometimes be a barrier to drinking Philly’s high quality 
water, PPR and GHP leadership agreed to test water sources for lead contamination as part of 
Hydrate Philly. This protocol outlines the steps of water testing for lead.  
One Week Prior to Testing 
1. Begin scheduling with center  
2. Review procedures with center:  
a. We are testing before doing a water promotion program to help build trust in 
the water quality.  
b. Testing will occur before ANY water has been used at the center (no flushed 
toilets, no sinks, no water used since the previous day). It is important that we 
follow this standard testing practice to ensure that people believe our results 
c. Samples will have to be sent to a lab, which will take a few weeks to get results. 
One Day Prior to Testing 
3. Remind staff to confirm scheduled time. 
4. Remind staff that no water can be used prior to testing. 
5. Have staff cover water fountain with plastic bag the night before to prevent use prior to 
testing (fountain must remain unused for at least 6 hours prior to testing). 
Day of Testing 
6. Arrive at testing site prior to facility opening, if possible, to prevent any water use. 
7. When possible, have leader or other key staff present for testing 
a. Staff presence is required for centers who expressed active concerns about 
water quality (defined as responding with “not very confident” or “no 
confidence” from Needs Assessment question on confidence in water quality) 
8. Explain process of “revised first draw” sample (clear the water storage tank in order to 
only test water that had been stagnant in piping) 
a. Have diagram 1 showing how water enters through the street, travels through 
the piping and is stored in the tank 
9. Perform test 
a. Use gloves to prohibit cross-contamination (relevant for any bacteria tests). 
b. Run fountain to fill a single 1 liter bottle (the size of the storage tank inside the 
fountain) and dump out the water. This allows us to obtain a “revised first draw” 
sample to bypass the water from the storage tank that was flushed from the 
previous day and stored in the tank. It allows us to access the water that has 
been sitting in the pipe overnight for a first draw sample.  

 
 
c. Fill the first test bottle, seal and place in cooler  
d. Run fountain over chlorine residual test strip for about 10 seconds 
e. Flush the toilets then run the fountain for 5 minutes using a timer (to flush water 
from building and bring in fresh water from street lines; See Diagram 1) 
f. Fill the second test bottle, seal and place in cooler. 
g. Run fountain over second chlorine residual strip for about 10 seconds. 
h. Place a small bag of ice in cooler over test samples, ensure samples stay 
refrigerated. 
i. Submit samples to testing facility immediately. 
i. To ensure accurate readings for bacteria tests, samples must be mailed 
immediately so they are received within 24 hours. Penn State’s 
Agricultural Testing Center does not receive samples on Fridays or 
weekends as there is insufficient time to conduct testing.  
j. Provide expected timeline to the center staff for test results to be completed (1-
2 weeks) 
After Testing 
Lead action levels are consistent with the School District of Philadelphia water testing lead 
action levels and are below the EPA recommended action level of 15ppb for schools and child 
care facilities designated as a public water system. Notification of elevated levels for other tests 
will be determined based on EPA criteria for normal ranges that are reported by Penn State 
Agricultural Analytical Services Lab on each water safety testing report.   
   If Results are Less than 10 ppb: 
10. Inform PPR, PDPH, and recreation site leader of results within 48 hours 
   If Results are 10 ppb or greater:  
11. Turn off outlet and tag to prevent turning back on 
12. Notify Cheryl Bettigole, Kathi Muller, Frank Fabey, and Kathryn Ott Lovell of elevated 
results within 24 hours. 
13. The city lead program should be notified of elevated lead levels  
 
Documentation 
1. When testing is complete, email notification records should be made to all project staff 
a. Include:  
i. Health: Cheryl Bettigole, Hannah Lawman 
ii. PPR: Kathryn Ott Lovell, Aparna Palantino, Orlando Rendon, Kathi Muller, 
Frank Fabey,  
iii. PWD: Dennis OConnor, Gary Burlingame 
b. Include PDF of all sites’ detailed results and PDFs of all sites’ notification letters 

 
 
Diagram 1 
 
 
 
 
 

 
 
Get Healthy Philly Water Safety Testing Protocol 
September 2017 
 
 
 
Conduct “Needs 
Assessment” for each 
recreation center to 
verify the existence and 
operational status of 
each fountain 
Inform PPR 
leadership/center’s staff of 
testing schedule to prevent 
activation of outlet prior to 
morning of testing. Allows 
for accurate first-draw 
sample 
Test 
Outlets 
Results less 
than 10 ppb 
Results greater 
than 10 ppb 
OR 
Turn off outlet and 
tag to prevent 
turning back on 
Notify selected 
GHP and PPR 
personnel within 
24 hours 
 
The city lead 
program should be 
notified of 
elevated lead 
levels 
Inform staff of 
results within 
48 hours 

Data Collection Form 
 
 
Center Name: __________________________________________ 
 
Today’s date 
1) How many kids 
attended your 
program today? 
2) How many kids 
had their REUSABLE 
water bottles today? 
3) How many kids 
brought in bottled 
water today, or were 
given bottled water 
by staff?  
Only count DISPOSABLE 
water bottles here. 
4) How many kids 
brought in SWEET 
drinks today? (soda, 
juice, sports drinks, 
tea, smoothies, etc.) 
5) What was the 
weight of the TRASH 
for today's summer 
camp (in pounds)? 
6) What was today's 
reading from your 
FLOW METER (in 
gallons)? 
EXAMPLE 
07/24/2017 
28 
13 
9 
14 
24.9 
871 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

A Quick Guide to Data Collection 
 
Hydrate Philly will text you for data collection at  
3 times over the next year… 
• 
Summer 2017:   July 24 – August 4 
• 
Spring 2018:      TBD 
• 
Summer 2018:   July/August 
 
Every data collection period lasts 10 days. During the period, we’ll text you at 3:30 PM every day. 
 
Here’s an example (with made up numbers) of what to expect. Please respond to our texts using 
numbers only. After you respond to the first question, you will receive another text with the second 
question, and so on until you’ve answered all 6 questions: 
 
 
Your responses are NOT monitored as they come in, so if you have questions please contact Xavier directly. 
Common Questions: 
1. When do I weigh trash and check the flow meter? 
• 
Wait until you receive our text at 3:30 PM every day, so you’re checking the trash and flow meter at the same time 
each day. This can be your normal trash take out routine during the data collection period. 
2. I have more than one trash can. Which trash can do I weigh? 
• 
Choose the trash can that is most often used for the after school program. The most important thing is to weigh 
the same trash can for the whole data collection period, even if the kids use a different trash can one day. 
3. What do I do on irregular days, when there are trips or other special events? 
• 
Keep track of the measures and respond as you normally would. We realize some numbers (for example, weight 
of trash) may be different than usual on these days. 

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Page 1 of 6 
Hydrate Philly Water Fountain Observation Cheat Sheet 
 
1. Arrive at recreation center. Find site leader and ask for today’s program attendance. 
2. (Intervention sites only) Record ‘challenge game’ and ‘program bottle count’. 
3. Take photos of water source at 10 feet and close up. 
4. (If time allows) test time to fill bottle/cup from bottle filler and/or spigot. 
5. Immediately before observation period begins, record flow meter reading and take photo. 
6. As observation period begins, count initial tally of total site visitors. 
7. Complete observation period. 
8. Immediately after observation period ends, record flow meter reading and take photos. 
9. If you did not do so earlier, test time to fill bottle/cup now. 
10. Text photo of completed observation form to Hilary at (856) 630-3550. 
 
 

 
 
Page 2 of 6 
Hydrate Philly Water Fountain Observation Protocol 
 
Overview of Observation Design 
1. All 28 study sites will receive 5 observations (1 each weekday) lasting 30 minutes each (see Appendix A for 
schedule).  
2. Observations will occur over 2-3 weeks by a single RA at each site. RAs will train to reliability using a gold 
standard measurement and a 2nd RA will conduct intermittent 2nd observations overlapping with the 1st RA 
for inter-rater reliability calculation purposes.   
3. Intervention and control matched pair sites will be observed at the same time period.  
4. If there are 2 hydration stations or water fountains at the recreation center, observations will occur at the 
location where the flow meter is installed (see Appendix B for list). 
5. Observations will overlap with the post-measurement period (i.e., same time as flow meter readings, 
attendance, and tally of water bottles, reusable bottles, and sugary drinks are being reported by site 
leaders). 
6.  
Observation Protocol 
1. Arrive at least 15 minutes before observations are scheduled to begin. It is very important all observations 
start on schedule. Do not begin observing early; begin at the scheduled time -- otherwise it can affect the 
results. Prior to observations beginning, these pieces should be started: 
a. # Program Participants on Site (ask site leader for today’s attendance)  
b. 2 Photos of the fountain 
c. “Before” photo of the flow meter or bottle counter (immediately before obs. period starts) 
d. # Total Site Visitors (immediately as obs. period starts) 
2. Sit or stand in an area close to the water source. Choose a spot where you can best observe the water flow 
coming from the water source. Do not sit so close as to be an obstruction. If needed, you can walk around a 
little bit to observe the other drinks that site visitors are consuming. 
3. Complete the observation form. Use one observation form per 30 minutes long observation. If you are 
paired with another volunteer during your shift, you each should complete your own observation form.  
a. Intervention Only: For intervention sites only, complete:  
i. Challenge Game: Circle Y or N for whether the “Weekly Water Challenge” game poster is 
hanging up somewhere in the center  
ii. Program Bottle Count: The number of “Hydrate Philly” branded water bottles that were 
seen in possession by children and adults at summer camp at the recreation center (not just 
from your observation post).  
b. Photos: Please take two photos before each observation period – 1) the water source at a distance 
of approximately 10 feet; and 2) water source basin close-up. In the first photo, we would like to see 
if there are any obstructions near the water source. In the second we would like to see if there is 

 
 
Page 3 of 6 
any dirt, trash, etc. in the water source basin that could impact consumption. (If you are paired with 
another volunteer on your shift, only one of you needs to take and send photos) 
c. Tally of program participants on site: When you arrive, take an initial count of children enrolled in 
the summer program who are onsite during the observation period. Ask the site leader how many 
kids attended the program that day. Do not count other youth at the center if they are not in 
summer camp (e.g., youth playing basketball on their own) because they will be counted in “other 
site visitors”.  
d. Tally of total site visitors: Just as the observation period starts, take an initial count of all visitors in 
the recreation center that you can see from your post. All additional visitors who enter your line of 
sight from your post (within the recreation center) will also be counted and added to your tally. Do 
not count visitors that you cannot see from your post (e.g., visitors in other rooms out of site of the 
hydration station). Do count visitors that you would be able to see from your post if not for an 
obstruction (e.g. vending machine or people having a conversation that block your line of sight). You 
will likely wind up counting summer program participants and non-participants in this tally. 
e. Flow meter: Record the number on the flow meter at both the start and end of the observation 
period. This measurement should occur immediately before/after observation period. If the site is a 
control site, you will need to open the old water fountain cover in order to access the flow meter. Be 
very careful not to move or touch the flow meter if possible. If it’s necessary to move the flow 
meter, move it carefully. Flow meters have been known to break or malfunction if handled roughly. 
In addition to recording the flow meter number, take a photo of the flow meter number (before and 
after observation period). 
f. Time to fill bottle: Use a stopwatch to time how long it takes to completely fill 1) your small cup 
from the spigot and 2) your 20oz bottle from the bottle filler (intervention sites only). If two staff 
members are available, this measurement should be performed with your observation partner such 
that one partner holds the stopwatch and another partner fills the bottle and gives start/stop 
directions to the timer The measurement should be performed twice with each measurement 
partner swapping roles of timer versus bottle filler. The timer will record the measure on their 
observation form (so after the roles are switched the other person will be able to record their time 
on their own observation form). The measure should be repeated 3 times to obtain a reliable 
estimate.  
i. Test bottle fill time either before you record the first flow meter reading or after you record 
the flow meter reading at the end of the observation period, so the bottle testing does not 
affect water usage (and therefore flow meter reading) during the observation period. 
g. Tally of program participants and other site visitors using water sources:  
i. Count each time a water source is used as a separate tally. (i.e. if a man approaches a water 
source and drinks directly from the spout and then fills up his water bottle, count him both 
under sips and under bottles. Or if a girl takes a sip and then returns)  
1. Use a stop watch to time how long (in seconds) the visitor sips from the spigot, or 
how long water flows from the bottle filler into their bottle. Count only the time in 
which the visitor is actually drinking water or there is water touching his/her lips.  
2. For filled bottles, check ‘R’ if the visitor is using a reusable bottle. Do not count 
disposable cups or single use bottles. 

 
 
Page 4 of 6 
3. If visitors are drinking from the fountain back-to-back, and you do not have enough 
time to record and restart stopwatch between visitors, then pause the stopwatch in 
between visitors and capture overall time for that group of visitors. Record this 
number of seconds, then in parentheses to the right of the value, record the 
number of visitors who drank during that measure; e.g. 25.61 sec. (4) 
h. Other Beverages Observed: Tally a count of other beverages by their type for anyone within view of 
your observation post. Do not count beverages that are clearly not meant to be consumed (e.g. 
children returning unused milk cartons at the end of lunchtime). 
i. Examples include flavored milks, Capri Sun, Sunny-D, lemonade, Starbucks bottled 
Frappuccino, bottled yogurt drinks (Danimals, Yakult), fruit punch, Hugs, soda and any other 
drink with added sugar. Alcoholic beverages are counted as ‘other sugary drinks’.  
ii. If you don’t know if a drink contains added sugar, write down the details of the drink from 
the label in your “notes” section, and look it up on the internet immediately after your 
observation is complete (so you don’t forget). You can start by searching the drink here: 
https://www.fatsecret.com/. If there is an opaque bottle or a container with an unknown 
liquid, attempt to ask what’s the person is drinking or, if it is too busy to ask, classify these 
beverages as “unknown” 
iii. Available type categories are:  
1. Water in Reusable Bottle: Include all water seen in a reusable bottle. If someone fills a 
reusable bottle at the fountain, you will tally them here and check the ‘R’ box. 
2. Bottled Water (Single Use): Include all water in a single use receptacle.  
3. Milk (plain) 
4. Milk (flavored): strawberry, vanilla, chocolate, etc. 
5. Diet Soda/Diet Tea: count only diet sodas and teas that are artificially sweetened, not 
sugar sweetened 
6. 100% Juice: count only non-carbonated juice that appears to be 100% juice 
7. Soda: count only sugar-sweetened (not diet/artificially sweetened) sodas. This could 
include fruit flavored sodas (eg, Crush).  
8. Coffee: any type of hot or cold coffee beverage 
9. Other Sugary Beverages: Any other sugary drinks (e.g. lemonade, milkshakes, Sunny-D, 
Capri-Sun, sweetened teas) 
10. Unknown: count coffee mugs or opaque bottles  
11. Note: We should be able to aggregate these tallies to help us estimate potential 
trashed saved. 
i. 
Notes: please describe if anything unusual occurs during your shift that might impact water 
consumption – i.e. a parade, a school field day, a birthday party, construction, rain, a holiday, etc. If 
the fountain is dirty or clogged or broken today, please describe how (e.g., fountain is clogged with 
sand; trash in the basin). You can use this space to also describe anything else noteworthy (e.g. two 
small children tried to drink from fountain but couldn’t reach; woman washed her hands in fountain; 
children sat/climbed on fountain) 
 

 
 
Page 5 of 6 
Appendix A – RA Observation Schedule  
 
 
 
 
 
 
 
Proposed Daily Schedule 
Time 
Agenda 
10:30a 
Arrive site 1 
10:45a to 11:15a 
Site 1 observations 
11:15a to 12p 
Travel from site 1 to site 2 
12p 
Arrive site 2 
12:15p to 12:45p 
Site 2 observations 
12:45p to 1:30p 
Travel from site 2 to site 3 
1:30p 
Arrive site 3 
1:45p to 2:15p 
Site 3 observations 
2:15p to 2:30p 
Wrap up for day 
 
 
 
 
 
 
 
 
 

 
 
Page 6 of 6 
Appendix B – Description of water fountain that will be observed 
Site ID 
No. of 
Fountain 
Fountain 
Type 
Location to Observe 
1806 
2? 
Elkay 
ground floor, between the bathrooms near office 
1610 
2 
Elkay 
in lobby outside of auditorium 
1812 
2 
Elkay 
in main lobby 
1208 
2? 
Elkay 
inside the gym, as you enter, to the left 
1216 
1 
Elkay 
only 1 fountain 
1226 
1 
Elkay 
only 1 fountain 
1402 
1 
Elkay 
only 1 fountain 
1618 
1 
Elkay 
only 1 fountain 
1620 
1 
Elkay 
only 1 fountain 
1624 
1 
Elkay 
only 1 fountain 
1728 
1 
Elkay 
only 1 fountain 
1822 
1 
Elkay 
only 1 fountain 
1604 
2 
Elkay 
up steps in main lobby across from gym 
1314 
2 
Elkay 
upstairs across from office 
2811 
2 
Fountain 
as you enter the building, to the right, near office 
2307 
2 
Fountain 
in lobby, next to the vending machines 
2315 
2 
Fountain 
on main floor, in hallway leading to computer room 
2223 
2 
Fountain 
outside of the main office, near the bathrooms 
2225 
1 
Fountain 
only 1 fountain 
2227 
1 
Fountain 
only 1 fountain 
2205 
1 
Fountain 
only 1 fountain 
2409 
1 
Fountain 
only 1 fountain 
2819 
1 
Fountain 
only 1 fountain 
2821 
1 
Fountain 
only 1 fountain 
2803 
1 
Fountain 
only 1 fountain 
2413 
1 
Fountain 
only 1 fountain 
2729 
1 
Fountain 
only 1 fountain 
2317 
1 
Fountain 
only 1 fountain 
 

Observer Name: 
                         General Information 
Site Name:  
Intervention Only:
Challenge Game:       Y      N 
Program Bottle Count: _____ 
# Program Partic. on 
Site During Obs. Period: 
 
# Total Site Visitors During Obs. Period:
 
 
Date: 
Obs. Start Time: 
Obs. End Time: 
Flow meter @ Start: 
Flow meter @ End: 
 
 
Time to fill small cup from spigot: 
1. ________ sec.         2.  ________ sec.        3.  ________ sec. 
Time to fill 20oz bottle from bottle filler: (Intervention only)            
1. ________ sec.         2.  ________ sec.        3.  ________ sec. 
 
 
Observations 
Tally Who Drank from Observed Water Source: 
 
 
 
Sips: 
______ sec.            ______ sec.            ______ sec. 
______ sec.            ______ sec.            ______ sec. 
______ sec.            ______ sec.            ______ sec. 
______ sec.            ______ sec.            ______ sec. 
______ sec.            ______ sec.            ______ sec. 
______ sec.            ______ sec.            ______ sec. 
______ sec.            ______ sec.            ______ sec. 
______ sec.            ______ sec.            ______ sec. 
______ sec.            ______ sec.            ______ sec. 
______ sec.            ______ sec.            ______ sec. 
______ sec.            ______ sec.            ______ sec. 
______ sec.            ______ sec.            ______ sec. 
______ sec.            ______ sec.            ______ sec. 
Filled Bottles/Cups (single‐use containers not marked R): 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
______ sec.  □R        ______ sec.  □R       ______ sec.  □R 
Tally Other Beverages Observed: 
Water in Reusable Bottle: 
Bottled Water (Single Use):
Milk (Plain):
Milk (Flavored):
Diet Soda/Diet Tea: 
100% Juice:
Soda:
Other Sugary Beverages: 
Coffee:
Unknown: 
List of Other Sugary Beverages (e.g. lemonade, milkshake, 
Sunny‐D, Capri‐Sun, sweet tea): 
Notes (e.g., celebration, inventory of beverages available or for sale nearby, 
obstruction of water fountain, signage re: water or other beverages): 
 
 
 
 
 
 

8/10/2018
Hydration Station Maintenance Needs
https://docs.google.com/forms/d/1ASLOI0_D6vXxl-sQILUrGdcVfvtOhaQt8S2Tva8eP0c/edit
1/4
Hydration Station Maintenance Needs
Tracking the maintenance needs of water fountains and hydration stations over the course of six months
* Required
1. Site Name *
Mark only one oval.
 CB Moore
 Chew
 Christy
 Cohocksink
 Cruz
 East Poplar
 Feltonville
 FJ Myers
 Gambrel
 Gathers
 Glavin
 Hillside
 James Wright
 Kingsessing
 Lee Cultural
 Lonnie Young
 Mander
 McIlvain
 McVeigh
 Morris Estate
 Olney
 Papa
 Penrose
 Rivera
 Roosevelt
 Smith
 Tustin
 Vogt

8/10/2018
Hydration Station Maintenance Needs
https://docs.google.com/forms/d/1ASLOI0_D6vXxl-sQILUrGdcVfvtOhaQt8S2Tva8eP0c/edit
2/4
2. Person filling out form. *
Mark only one oval.
 Caretaker
 Recreation Leader
 Other: 
3. How often in the past week have you had to remove gum, seeds, or other food from the
fountain/hydration station(s)? *
Mark only one oval.
 Every Day
 3-5 times
 Once or twice
 Never
4. How often in the past week have you had to remove graffiti from the fountain/hydration
station(s)? *
Mark only one oval.
 Every Day
 3-5 times
 Once or twice
 Never
5. How often in the past week have you had to remove dirt/dust from the fountain/hydration
station(s)? *
Mark only one oval.
 Every Day
 3-5 times
 Once or twice
 Never
6. How often in the past week have you had to remove trash from the fountain/hydration
station(s)? *
Mark only one oval.
 Every Day
 3-5 times
 Once or twice
 Never

8/10/2018
Hydration Station Maintenance Needs
https://docs.google.com/forms/d/1ASLOI0_D6vXxl-sQILUrGdcVfvtOhaQt8S2Tva8eP0c/edit
3/4
7. How often in the past week have you had to clean the fountain/hydration station(s) of
blood/mucus? *
Mark only one oval.
 Every Day
 3-5 times
 Once or twice
 Never
8. How often in the past week have you observed the fountain/hydration station(s) to be
clogged? (Water stuck in the basin, not draining or slowly draining) *
Mark only one oval.
 Every Day
 3-5 times
 Once or twice
 Never
9. How often in the past week have you observed the fountain/hydration station(s) to be
flooded? (Water overflowed, not due to children spilling) *
Mark only one oval.
 Every Day
 3-5 times
 Once or twice
 Never
10. How often in the past week have you needed to wipe down the fountain/hydration station?
(general cleaning) *
Mark only one oval.
 Every Day
 3-5 times
 Once or twice
 Never
11. How much time does it typically take to
maintain the fountain/hydration station? *
12. Have you experienced any issues with maintenance of the fountain/hydration station? If so,
explain. *