English ver.

ＨＰＳ評価指標2013 年度版〔junior high school version〕
2014.03.04

編

Questionnaire about Health promotion in Schools
English version（2013）< junior high school version >The purpose of this questionnaire is to reveal concrete suggestions as to what points should beconsidered in order to promote healthy schools.
Making a healthy school means:
All people who are involved with children: teaching staff，parents and guardians，the local community，health professionals work together andcooperate to promote a healthy school. This is very important in order for each individual to continue a healthy lifestyle t hroughout their lives.

We hope that the questionnaire will be completed by members of the senior management, school
nurses, health teachers, and other health professionals working in schools. We would like you to fillin the survey in consultation with the relevant teachers.
※

Circle the applicable answers to the questions below

Ⅰ

to be filled in by those answering the survey

Ⅰ－１sex（ ①male②female）

Ⅰ－２age（ ①20s

②30s

③40s

Ⅰ－３

years of relevant experience（④16～20years
Ⅰ－４）①１～５years②６～10years③11～15years⑤ 21～25years⑥ 26～30 years⑦ 31or more years）

your job title①School Principal⑤Teacher（please write which year group/age⑥School nurse or Health Teacher

Ⅰ－５④50s②

Vice Principal⑦③ Deputy Head

④SeniorManagement

group and subject you teach）

Other ()Your current duties（circle all the applicable answers）① in charge of student guidance（related areas）②in charge of education counseling (related areas)③

in charge of health education, etc. ④

safety education（related areas）⑤in charge of⑥ other position of responsibility: leader or supervisor (relatedareas) (Ⅱspecial needs education coordinator)

The size of your school
Write down the total number of classes in your school（omitting special needs classes）① fewer than 3classes②4～9classes③10～15classes④16～18classes⑤19or more classes
From the next page, there are five possible replies for each

〈options〉
5

yes

4

to some extent

3both yes and no2

not really1

no0

not applicable to this schoolquestion. For each question, tick the appropriate responseon the grid.
Where there are brackets（）on the answer sheet,write the number in the brackets. For example,（number oftimes per year:times）

options

School health policy

５ ４ ３ ２ １ ０

1.

planning・School
safety planning

not applicable to thishealthnot reallySchool

Checkpoints

both yes and no

It includes policies related to the content of the remaining five sections.

Points to evaluate1.

school safety

to some extent

at school. The content refers mainly to school health planning andyesThis section is about the policies necessary for carrying out general health promotion
planning.

school noSection 1

Your school has explicit objectives regarding health within its
educational objectives (planning)

2.

Your school has separate policies for school health and school
safety3.

The school’s health planning and safety planning are evaluatedbased on specific methods of evaluation.

2.

Schoolhealthplanning,

schoolsafetyplanningandrelated

matters

1.

Your school makes use of the previous year’s implementationand evaluation of health and safety policies when devising
polices.

2．The items listed below are included in your school health planning, school safety planningand other planning.
1)

basic lifestyles

2)food（school lunch, cafeteria provision, food available for purchase ,education about diet and nutrition

3)

sex education, guidance about sexual matters 〈 e.g.
HIV/AIDS、sexually transmitted diseases〉

4)

measures for prevention of and dealing with infectious
diseases〈e.g. Influenza, Norovirus, Rotavirus, SARS 〉

5)measures for preventing smoking〈e.g. forbidding smoking on
the school premises, anti-smoking policy for teachers, etc.〉

6)

education to prevent the drinking of alcohol

7)

education to prevent drug abuse

8)internal school policies for the prevention of and dealingwith violence, bullying and harassment〈e.g. between students and9)teachers, between students〉

media literacy education〈e.g. appropriate use of information
about health, appropriate use of mobile phones, internet, etc.〉

10) guidance about dental hygiene 〈 e.g. guidance about oralcavities〉

11) crisis management measures（a manual and training fordealing with natural disasters and man-made disasters）

12) traffic safety policy13) measures for prevention and dealing with of crime-relatedinjuries（violence, molesting, abduction etc. ）14) storage and management of medicine
15) the senior management have a good understanding of thehealth and safety situation of the teaching staff
16) training is provided for teaching staff to become healthleaders3.

Considering
Health matters in

1．integrating health issues into the school rules
1)

Do you make sure that there is no danger or physical harm

schoolcaused by pupils carrying baggage that is too heavy whenmanagement andthey go home from school?

the curriculum〈e.g. checking the weight of school bags at least once a year. Impose
sanctions if they are too heavy. In Hong Kong bags are required toweigh under 15% of students’ body weight〉.

2)

Do the school rules protect students’ human rights? (forexample: when they have broken the school rules, when they arecaught smoking, do you provide educational support)

2．The school timetable is appropriate
1)

The starting time of classes is appropriate〈e.g. you are taking
into account the particular circumstances of the students and theytime they take to travel to school〉

2)

You consider health aspects when you arrange the timeand content of club activities.

Options

1.

environmentThe school has its own original manual for dealing with crisis
management, both before and after the event in the areas of「safety in daily life」「road safety」「safety in disasters(disaster prevention)」

2.

Training is carried out for teachers and students on how tobehave in the case of accidents, incidents and disasters（number of times in a year:times）

3.

Measures are in place for protecting students’ safety on theirway to school.
〈e.g. guidance in road safety from local residents, road safety classes,safety watchers〉

4.

Regular or occasional checks of students’ routes to school arecarried out.

5.

All the teachers who use equipment or tools are informed
about the safe way to use them.

6.

Safety checks are carried out at least once a term to see if
there is anything wrong with the equipment or tools which
the students are using.

7.

There are escape routes in all the classrooms and they areclearly signposted.

2.

Creating a

1.

The school promotes activities for the children to positively

hygienic andmake the environment more hygienic and attractive. (e.g.

pleasant

activities for cleaning the school or making it more attractive)

environment

2．Inspecting the environment based on basic standards for a hygienic school
environment。
1) Regular sustainable management of the hygienic environmentis carried out by experts, (for example, school pharmacists).
2)Regular and special checks are carried out when necessary.
〈 e.g. checks of temperature, lighting, volatile organic compounds,radiation levels〉

2.

In accordance with the environment of your school, regularchecks of the toilets and washing areas are carried out using
a check sheet.

not applicable to thisA safeschool no1.

Check points

not reallypoints to evaluate

both yes and nohygienic and pleasant.

yesThis section is concerned with supporting a sustainable environment which is safe,

５ ４ ３ ２ １ ０
to some extent

Section 2:the physical environment of the school

3.

A peaceful and

1.

There is a relaxation space in the school (a place for students

restfulto rest besides the health room, consultation room, orenvironment

counseling room).

where consultationis possible
4.

A healthy food1.

environment

There is a system to check whether the school has a policy
for providing healthy food (school lunch or food available forpurchase) （food-safety）〈e.g. a system for carrying out checks bya nutrition teacher or other nutrition staff, a system to check the foodpurchased in school or drinking water or checks of the food by senior
management .〉2.

Inspections and checks of school lunch are carried out.
Checks on school lunch are carried out〈e.g. checking that themenu has nutritional balance and takes

food allergies into

consideration, food allergies.〉

5.

An

3.

Guidelines are provided for what to do in the case of food1.

poisoning.
There is a system in place for recycling paper, tin cans andpet bottles(healthy menu)〈e.g. recycling is an activity necessary

environmentally-fr
iendly schoolfor the healthy survival of society〉

2.

Environmental protection activities are carried out regarding
the resources of water, electricity, and organic waste.
〈e.g. Too long practice, inappropriate practice for pupil’s health etc. 〉

6．The environment issuitable forchildren withspecial needs

1．It is possible to use wheelchairs there〈e.g.：the position and ease ofuse of the elevators〉

Options

Quality of humanrelations

1．When the teaching staff give guidance for increasing normative

withinconsciousness they respect the children’s independence (theythe school

listen to and respect their opinions)
2．When the teaching staff give guidance for increasing normative
consciousness, they do so kindly and with consideration.
3． Thechildren’sopinions

arereflectedin

theschooldecision-making process. 〈 e.g. they participate in school healthplanning, school safety planning and other types of decision making〉.

4．There is good mutual understanding among students.
5．There is a good mutual understanding among the teachers.
6．There is a good mutual understanding between teachers andstudents.
2.

Respect for the1.

There is mutual respect for the cultural, religious and ethnic

values ofbackground of individuals. 〈e.g. children of different nationalities

individuals

and religions〉
2.

There are opportunities to learn about the customs ofdifferent cultures, religions and races. 〈e.g.: education abouthuman rights、understanding other cultures etc.〉

3.

There are rules about protecting students’ and teachers’
personal information.

3.

Assistance and

1 ． For children who need special consideration, exchange ofsupport for

information, study support and appropriate programs arechildren who needprovidedspecial(e.g. there is a system for the provision of educational support orconsideration

financial assistance for attending school.)

2．When special support is necessary, there is a system within theschool for dealing with the situation swiftly.〈e.g. support for
those in financial need or developmental disorders〉

3．When special support is necessary, there is a system in place forswiftly contacting organizations outside the school〈e.g. supportfor those in financial need or developmental disorders〉

not applicable to this1.

Check points

not reallynecessary for the general promotion of good health in schools.

both yes and noyes

This section is concerned with the human relations and social consideration

Evaluation points

school no５ ４ ３ ２ １ ０

The Social environment of the school

to some extent

Section 3

Options

Evaluation points
1.

Contactwithparents

andguardians

Check points
1.

You

arrangehealth-related

activities

orparents

andguardians. ( e.g. PTA, mothers’ clubs)
2.

In order to develop closer cooperation with parents, youorganize groups for parents or for both parents and teachers(e.g. PTA, mothers’ groups)

3.

You provide opportunities for parents and guardians toparticipate in the planning and evaluation of School healthand safety policies.〈e.g. setting up a school health committee〉

4.

You are proactive in carrying out surveys orsurveys orinvestigations about health for students’ families 〈 e.g. anewsletter about health〉

2.

Links with the1.

You inform local and associated organizations ※ about thecommunity andcontents of your healthy school policy 〈 e.g. displays andother schools

advertising at local events, school open days and local events or
publishing brochures, school homepage.〉.

2.

You dispatch representatives about health activities to local
areas and beyond (e.g. the school principal participates in local healthfestivals)

3.

In order to support health activities in the local area, you
carry out exchange activities regarding health education.〈e.g.
carrying out health education for people in the local area〉

4.

You share facilities for carrying out health education activities
with people from the local area (e.g. making your gymnasium
available to people from the local area)

5.

You minimize children’s exposure to harmful media images(e.g.by removing graffiti or immoral posters from the area around the１ ０
not applicable to this schoolin schools.

２noare necessary for general health promotion

yesand parents or local organizations, that３

not reallyThis section is concerned with the interpersonal communication, between schools

４both yes and no５

to some extent

Section 4 parents and guardians: links with the local area

school). You work together with the relevant local organizations※

to improve pupils and teachers’ media literacy.

6.

You get advice and cooperation from local organizations※.

7.

When you draw up and evaluate school health planning andschool safety planning policies, you provide opportunities for
local related organizations※ to participate.

8.

The students use local health resources (e.g. information,things, places) in educational activities.

※

relevant organizations: health care situations, municipalities、education consultation offices, universities,
libraries, medical institutions, emergency medical centers、mental health and welfare centers, organizations
for prevention of tuberculosis, welfare offices, Japan Red Cross Organization, Japan Medical Association,
Japan Dentists’ Association, community centers, neighborhood associations、police stations、fire stations etc.

options

health skills, health education

Checkpoints

1.

acquiring health

Plan
1)

skillsHealth education is given priority in the school’s healthand safety planning.

2.

Implementation
1)

You are implementing necessary health education that
goes beyond the contents of the national curriculum(prescribed course of study)〈e.g. media literacy education, education for crime prevention〉

2)

There are opportunities for students to take the initiativein health education and teach each other〈e.g. peer education, general studies:〉※１3.

Evaluation
1)

You evaluate the pupils' health education such as healthskills and health activities

2.

Staff enrichment

1.

2)

You test and evaluate the pupils’physical strength3)

You test and evaluate the pupils’ academic ability

Teaching staff have the opportunity to undergo training in
health education, and this is reflected in education activities

2.

When you carry out health education、you receive help andcooperation from school doctors, school pharmacists, andprofessionals from outside the school (e.g. public health nurses,police)

3.

Materials and1.

You provide suitable materials and tools.

tools for2.

You are carrying out activities to raise public awareness ofacquiring healthskills.

health education.〈e.g. health newsletter, health notice board〉
3.

You have groups and organizations for students which
promote health and health-related problem-solving.〈e.g. peer
support leaders※２, students’ health committee〉※１peer education: friends of the same age (peers) teach each other correct knowledge, skills andbehavior.
※２peer support: friends of the same age（peers）help each other.

noCurriculum for

not really1.

both yes and noPoints to evaluate

to some extent

to improve their own health and that of others.

yesThis section is about health and safety education for developing the students’ ability

５ ４ ３ ２ １ ０
not applicable to this school

Section 5options
５ ４ ３ ２ １ ０

Health service

fordealingwithinfectious

1.

You use health newsletters or leaflets to provide information toparents about infectious diseases

2.

diseases

You encourage students to have vaccinations against infectivediseases.

3.

You investigate whether students have been vaccinatedagainst or contracted infectious diseases.

4.

You gather statistics about whether students are being
vaccinated against or have contracted infectious diseases.

5.

If an infectious disease breaks out, there is a system in placefor dealing with it swiftly.（e.g. there is a manual, contact
with other organizations, obtaining the understanding of thewhole school2.

Individual health1.

The school has programs in place for individual educational

support plans

support (guidance) for students with particular conditions（allergies,diabetes, developmental disorders.

3.

Keepingrecords

1.

You keep a record of the students who visit the health room

students’2.

You keep a record of individual students’ health conditions

health conditions

3.

Management of individuals’ health information is carried outofappropriately〈e.g.: having lockable storage space〉
4.

You gather statistics on students’ health conditions

5.

School doctors and dentists regularly check the results ofstudents’ regular medical/physical examinations.

4.

Education

1.

guidance system

Consultation services are available and information about
these is provided to pupils and their parents.
(e.g. counseling services)

2.

There is a school counselor or someone who carries out
counseling in the school.（other than school nurses.）(Number of days in school per week:3.

days,hours)

There is a consultation room where individual privacy ispreserved.

5.

System for crisis

1.

The teaching staff receive regular first-aid training. (e.g.ＡＥＤ)

noMeasures

not really1.

Check points

both yes and noPoints to evaluate

to some extent

and parents or guardians

yesThis section is about the health care service and its foundation for students, teachers

not applicable to this school

Section 6management

2.

There is a manual plan for first aid treatment

3.

A basic first aid kit and equipment（e.g.stretcher,ＡＥＤ）are readily
available

4.

There are regular checks to see if the three items mentioned
above are used up, broken or past their expiry date.

6.

Health care for1.

teaching staff

There is active promotion of improving the health of theteaching staff, relevant training is carried out and support
provided for participation in this.

2.

Teaching staff are encouraged to have regular health checks,
up-to-date vaccinations, and participate in other healthactivities.

3.

The senior management care about the physical health of theteaching staff and if necessary make it possible for them tovisit a doctor or take leave from work.

4.

The senior management care about the psychological health of
the teaching staff and where necessary make it possible forthem to have counseling, visit a doctor and leave from work.

5.

The senior management provide a relaxation room for teaching
staff.（a place to rest for physical and mental relaxation）〈e.g. a lounge〉

6.

Relevant, up-to-date information about health issues isprovided to the teaching staff.

〈I you have any further comments , please write them in the space below〉

Thank you for your cooperation. Pease place your completed form in the envelope
provided and mail it.