1. Fast Food Outlets Communities of Excellence in Nutrition, Physical Activity, and Obesity Prevention (CX 3 ) CX 3 CX 3 On-the-Ground Survey Training FFY 2015

2. Purpose To assess the marketing practices of fast food outlets near middle and high schools, parks and playgrounds in your selected neighborhoods. High school/continuation or middle school preferred Elementary schools are optional

3. Survey Sections Overview Fast Food Outlet Information – Section A (Q1 – Q7) Fast Food Exterior – Section B (Q8– Q20) Child Oriented Marketing Practices – Section C (Q21 and Q25) Fast Food Interior – Section D (Q26 – Q34)

4. Fast Food Outlet Information - Section A

5. Fast Food Outlets Defined

6. A fast-food outlet is a quick service restaurant: Pay at the counter –Offers food that is ready to eat quickly after ordering –Minimal service –Requires that customer pays for food prior to its consumption Does it have a “fast food feel”? Is food served wrapped in paper, in a disposable box, on a tray with a paper liner, with ketchup/mayo packets? Drive thru? Main items include entrees such as sandwiches –Do not include donut, snack, coffee or other specialty restaurants unless they serve entrees on their menu

7. Do not survey bakeries or cafés unless they serve a full menu of food (such as sandwiches, salads, soups, etc.) on a menu board or paper menu If any doubt, go ahead and survey – Can make final decision at state office Fast Food Outlets Defined (continued)

8. 1) Fast food chain: 20 or more outlets/units Includes burgers, fried chicken/fish, –taco/Mexican/Latino, fast Chinese Example: Burger King, McDonalds, KFC, Carl's Jr., Taco Bell, Panda Express, El Pollo Loco, In & Out, Arby’s, Sonic, Popeye’s, Long John Silvers, Chick-fil-a, Wienerschnitzel, Dairy Queen (that serves a lot of food) Q6) Types of fast food outlets

9. 2) Fast food not chain: 19 or fewer outlets/units Includes same styles as fast food chain, but < 20 locations Includes local taqueria’s that are not part of a larger chain network Includes restaurants that are –not part of a franchise –not pizza –not deli –not hot dog –not more than one style Q6) Types of fast food outlets

10. 3) Pizza Chain: 20 or more outlets/units Example: Domino's, Little Caesar's, Pizza Hut, Round Table Pizza, etc. 4) Pizza, other: 19 or fewer outlets/units Primary product is pizza Q6) Types of fast food outlets

11. 5) Subs/Deli/Sandwich Chain: 20 or more outlets/units Example: Subway, Quizno's, Togo's, Pita Pit, etc.. Q6) Types of fast food outlets

12. 6) Other: Does not fit into any of the above categories Example: deli non-chain, hot dog outlets, more than one style, etc 6) Types of fast food outlets

13. Donut, ice cream, coffee cafes, or other specialty stores Fast Casual DO NOT SURVEY THESE

14. How many outlets to survey? Survey 15 outlets within 1/2 mile of each middle and high school, and park in each neighborhood. –Most will only have a few fast food outlets; some will have none –Some health departments want to survey ALL fast food outlets in neighborhood (optional) –Survey all if ≤ 15 in neighborhood If more than 15 outlets, please contact CX 3 staff Use lists from CX 3 GIS Neighborhood Workshop Worksheets/Lists Drive through neighborhood to identify locations Check these lists against: –Google searches (and use local knowledge) –Environmental Health list from health department

15. Store Exterior – Section B, Page 1

16. 8) Is there a drive through? Circle “1” Yes Exterior Circle “1” Yes 9) Is outlet open after 9pm?

17. 10) Is a school visible from the restaurant? Circle “1” Yes 11) Is a park or playground visible from the restaurant? Circle “0” No

18. Examples of Healthy and Unhealthy list found on pages 4 & 5 of the protocol Examples of Healthy and Unhealthy list found on page 1 of the survey

19. Doors and windows - Only on front of the fast food outlet Professionally produced, depicting brands, logos or products Use gray shaded area to record tic marks Circle number of 0,1-2, 3-5, 6-9, 10+ Circle “0” when no ads are present for category Note: Size and number of ads is done the same as Store survey Use survey paper to choose ad size (Paper = 8 ½ X 11) Small ( ≤ 1 sheet) Medium ( > 1 sheet, up to 10 sheets) Large ( > 10 sheets of paper together) 12) Record the number and size of healthy and unhealthy ads Exterior

20. 12) Amount of advertising on all doors and windows (shown) on the front of the outlet: How many ads for healthy & unhealthy do you see? And what size are they?

21. Exterior 12) Amount of advertising on all doors and windows (shown) on the front of the outlet: Unhealthy: 0 Small, 0 Med., 5 Large Healthy: 0 Small, 0 Med., 0 Large

22. 12) Amount of advertising on doors and windows (shown) on the front of the outlet: Unhealthy: 0 Small, 1 Med., 2 Large Healthy: 0 Small, 0 Med., 0 Large Exterior

23. Practice time: 12) Which ads do you count? Exterior

24. XX Practice time: 12) Which ads do you count? Unhealthy: 2 Small, 1 Medium, 0 Large Healthy: 0 Small, 0 Medium, 0 Large

25. Q 12) What’s the “front” of the outlet? Front = area of building with front door (entrance) If front door is situated at corner of building, survey the side that is used for the address If more than 1 entrance, choose the one used for the address If address side is not accessible, use entrance closest to parking area If difficult to determine, pick either one Exterior

26. 12) Example of store front O Outlet with 2 entrances; chose one with address as store front.

27. Store Exterior – Section B, Page 2 Outlet Exterior Conditions

28. Exterior 13) Are there ads on windows that are not on the front of the outlet? Check all that apply (healthy or unhealthy): Circle “1” Yes and check “unhealthy”

29. 14) Are there any images of healthy food, e.g., fruits, vegetables, painted on the windows? Circle “1” Yes

30. 15)Are there any images of un-healthy food, e.g., a hamburger, french fries and/or beverages, e.g., soda or shake, painted on the windows? Circle “1” Yes Exterior

31. 16) Is building painted in company colors. Circle “1” Yes Exterior

32. 17) Are restaurant signs on poles as high as the building or higher?Circle “1” Yes Exterior

33. 18) Is there advertising on the roof or walls of the building? Circle “1” Yes Exterior

34. 18) Is there advertising on the roof or walls of the building? Circle “1” Yes 19) Is there advertising elsewhere such as fences, garbage cans or parking lot? Circle “1” Yes Exterior

35. 20) Does the outlet have neon signs? Circle “1” Yes

36. Exterior: Design Guidelines BEFORE AFTER

37. Child Oriented Marketing Practices Section C

38. Child Oriented Marketing Practices 21) Large balloon kid-oriented characters visible on roof or in front of restaurant? Circle “1” Yes

39. 22) Signs/advertising that is kid-oriented? Circle “1” Yes Child Oriented Marketing Practices

40. 23) Play areas visible from outside and attached to fast food outlet? Circle “1” Yes Child Oriented Marketing Practices

41. 24) Are kid’s meals available? Circle “1” Yes 24a) Are toys part of the meal package/box? Circle “0” No 24b) Are there other types of kid’s promotions available that are not toys part of the meal package/box? Circle “1” Yes Child Oriented Marketing Practices

42. Another example of non-toy other promo

43. Interior – Section D

44. Interior Federal Menu Labeling Law began 2011 –Fast food chains defined as “20 or more” –Must have number of calories contained in standard menu item on menu listing –Must have statement with suggested daily calorie intake posted – On survey tool, make sure you record FF chain, pizza chain, sub/sandwich chain

45. Interior 26) On the menu board: Minimum of total calories next to each menu item Circle “1” Yes

46. 26a) If there’s a drive through, also check this menu board for minimum total calories next to each item. Circle “1” Yes or Circle “0” No Interior

47. 27) Poster or kiosk of menu items near ordering counter (w/in 6 ft)? Circle “0” - No Interior

48. 28) Brochure or pamphlet of menu items near ordering counter (within 6 feet) must include minimum 4 things: Total calories Carbohydrates Saturated fat Sodium If it doesn’t include the 4 things listed above, Circle “0” No (Also, record note in question 33) Interior

49. 29) Sign or menu board near ordering counter (w/in 6 ft): Says nutrition information available upon request? Circle “1” Yes Interior

50. 31) Does the outlet offer super-sizing or meal deal with added sides (fries and drink)? Circle “1” Yes 30) Does the outlet offer specials with purchase on healthy foods choices? Circle “1” Yes or Circle “0” No Interior

51. 32) Healthier Fast Food or Beverage Options List Two parts: –Any Fast Food Outlet Type Core/basic items that should apply to any type of outlet Can check as many as apply –Specific to Fast Food Type Pick type: Burger, Mexican/Latino, Asian/Chinese, Pizza/Italian, Sandwich/Deli, Chicken/Fish Can check as many as apply Add up total healthy menu options at bottom!

53. Example: Healthy Options 32) Healthier Fast Food or Beverage List Check broiled chicken entrée for “Any fast food outlet type” Check bowl instead of burrito option for “Mexican/Latino- Specific Type”

54. Interior 33) Notes/Other Observations –E.g. Nutrition info that does not meet minimum –Any other observations you would like to make regarding this outlet

55. Interior 34) Is “We Accept CalFresh, Food Stamps/EBT” signage displayed anywhere on the property? Circle “1” Yes or Circle “0” No

57. Interior 35) Price Comparison –Circle “1” Yes or Circle “0” No if available –Record ounces and price for Bottle Water, Soda, 1% or non-fat milk (For bottled water and soda, be sure to use the same volume (ounces)) 16.9 16 2.00 1.00 8 1.25

58. Last thing… Q36 Complete the “disposition” on first page. Everything filled out? You’re done!

59. CX 3 STATE TEAM We’re Here to Help You! Jeffery Rosenhall, NEOPB 916.650.6891, Jeffery.Rosenhall@cdph.ca.gov Lynn Fuhrman, NEOPB 916.552.9862, Lynn.Fuhrman@cdph.ca.gov Camille Johnson-Arthur, NEOPB 916.449.5488, Camille.Johnson-Arthur@cdph.ca.gov Your Program Officer, NEOPB CX 3 Website (just Google CDPH CX3): http://www.cdph.ca.gov/programs/cpns/Pages/CX3_Main_Navgation.aspx

60. Is change afoot? Will we capture?

63. 400 Meter Exclusion Zone (aprox. = 1300 feet, ¼ mile, or 2 blocks) Study found that secondary schools have on average 23 junk food outlets in their neighborhoods, with some surrounded by 46 England Allows Ban FF Around Schools