Communities of Excellence in Nutrition, Physical Activity, and Obesity Prevention (CX3)

3 CX

Fast Food Outlets

CX3 Tier 2 Training FFY 2013

Purpose

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

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)

Fast Food Outlet Information - Section A

Fast Food Outlets Defined

Fast Food Outlets Defined

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

Main items include entrees such as sandwiches

Do not include donut, snack, coffee or other specialty restaurants unless they serve entrees on their menu

Fast Food Outlets Defined

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

6) Types of fast food outlets

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, Arbys, Sonic, Popeyes, Long John Silvers, Chick-fil-a, Wienerschnitzel, Dairy Queen (that serves a lot of food)

6) Types of fast food outlets

2) Fast food not chain:
19 or fewer outlets/units Includes same styles as fast food
chain, but < 20 locations

Includes local taquerias 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

6) Types of fast food outlets

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

6) Types of fast food outlets

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

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

DO NOT SURVEY THESE

Donut, ice cream, coffee cafes, or other specialty stores

Fast Casual

How many outlets?

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 CX3 staff

Use lists from Tier 1 Check these lists against:
Google searches (and use local knowledge) Environmental Health list from health department

Drive through neighborhood to identify locations

Store Exterior Section B, Page 1

Exterior
8) Is there a drive through?
9) Is outlet open after 9pm?

Circle 1 Yes

Circle 1 Yes

Exterior
10) Is a school visible from the restaurant? Circle 1 Yes 11) Is a park or playground visible from the restaurant?

Circle 0 No

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

Exterior
12) Record the number and size of healthy and unhealthy ads
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 X 11) Small ( 1 sheet) Medium ( > 1 sheet, up to 10 sheets) Large ( > 10 sheets of paper together)

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

Exterior

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

Practice time:
12) Which ads do you count?

Exterior

Practice time:
12) Which ads do you count?

Unhealthy: 2 Small, 1 Medium, 0 Large Healthy: 0 Small, 0 Medium, 0 Large

Exterior
Q 12) Whats the front of the outlet?
Front = side 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
12) Example of store front

Outlet with 2 entrances; chose one with address as store front.

Store Exterior Section B, Page 2 Outlet Exterior Conditions

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

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

Exterior

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

16) Is building painted in company colors. Circle 1 Yes

Exterior

17) Are restaurant signs on poles as high as the building or higher? Circle 1 Yes

Exterior

18) Is there advertising on the roof or walls of the building? Circle 1 Yes

Exterior

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

20) Does the outlet have neon signs? Circle 1 Yes

Exterior: Design Guidelines

BEFORE

AFTER

Child Oriented Marketing Practices Section C

Child Oriented Marketing Practices

21) Large balloon kid-oriented characters visible on roof or in front of restaurant? Circle 1 Yes

Child Oriented Marketing Practices

22) Signs/advertising that is kid-oriented?

Circle 1 Yes

Child Oriented Marketing Practices

23) Play areas visible from outside and attached to fast food outlet? Circle 1 Yes

Child Oriented Marketing Practices

24) Are kids meals available? Circle 1 Yes 24a) Are toys part of the meal package/box? Circle 0 No 24b) Are there other types of kids promotions available that are not toys part of the meal package/box? Circle 1 Yes

Interior Section D

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

Interior

26) On the menu board: Minimum of total calories next to each menu item
Circle 1 Yes

Interior

26a) If theres a drive through, also check this menu board for minimum total calories next to each item. Circle 1 Yes or Circle 0 No

Interior

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

Interior
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 doesnt include the 4 things listed above, Circle 0 No (Also, record note in question 33)

Interior

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

Interior
30) Does the outlet offer specials with purchase on healthy foods choices? Circle 1 Yes or Circle 0 No

31) Does the outlet offer super-sizing or meal deal with added sides (fries and drink)? Circle 1 Yes

Interior
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!

Example: Healthy Options

32) Healthier Fast Food or Beverage List

Check broiled chicken entre for Any fast food outlet type

Check bowl instead of burrito option for Mexican/LatinoSpecific Type

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

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

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
16.9 2.00 1.00 1.25

16 8

(For bottled water and soda, be sure to use the same volume (ounces))

Last thing
Q36 Complete the disposition on first page. Everything filled out?

Youre done!

Is change afoot? Will we capture?

England Allows Ban FF Around Schools

400 Meter Exclusion Zone

(aprox. = 1300 feet, mile, or 2 blocks)

Study found that secondary schools have on average 23 junk food outlets in their neighborhoods, with some surrounded by 46

CX3 Team
Alyssa Ghirardelli, RD, MPH
916.449.5342, Alyssa.Ghirardelli@cdph.ca.gov

Lynn Fuhrman
916.552.9862, Lynn.Fuhrman@cdph.ca.gov

Betty Sun, MS, RD

916.449.5386, Betty.Sun@cdph.ca.gov

Chris Bilbrey, MS, RD, CLE

916.319.9809, Christine.Bilbrey@cdph.ca.gov
CX3 Website: http://www.cdph.ca.gov/programs/cpns/Pages/CX3_Main_Navgation.aspx