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. 2025 Aug 5;17(15):2556. doi: 10.3390/nu17152556
FOOD POLICY
1. Is there a headquarters or local policy to include healthy food and beverage options (as an example: at least 25% of the full menu, minus alcohol) at the venue? Ask the manager this question.
◯ Yes     ◯ No
2. Is there a policy to identify healthier options on menu boards/menus? Ask the manager this question.
◯ Yes     ◯ No
FOOD AVAILABILITY
3. How many healthier a la carte main meal options (meat or vegetarian), including salads, are available?
Count each option separately, except low fat deli meats counts as 1 option.
Healthier main meal options include: skinless chicken/turkey breast, low-fat deli meat (chicken, turkey, ham), veggie/turkey burgers, fish/seafood, pork top loin, beef top round steak or roast, items that is not prepared by breading or frying, and is not covered in sauce or salad dressing
Healthier items are described as: baked, grilled, sautéed, stir fried, steamed
◯ 0     ◯ 1–2     ◯ 3–4     ◯ ≥5
4. Are healthier options listed first for their category on the menu board or menu?
Example: Healthier side items (such as fresh fruit) is listed first in the “side” section
◯ Yes     ◯ No
5. How many different healthier side options are available? Side is defined as a single serving of a food that may accompany a meal or entree or eaten on its own.
Healthier side options include: prepared side salad (not from a salad bar), fruit without added sugar/syrup, baked/steamed vegetables, legume (beans) without added fat, brown/wild rice, quinoa, couscous, barley, and or whole grain pasta.
Healthier items are described as: baked, grilled, sautéed, stir fried, steamed
◯ 0     ◯ 1–2     ◯ 3–4     ◯ ≥5
6. How many vegetable variety options are available for salad options?
Can be fresh, chopped/diced vegetables or fruit, or canned beans
◯ 1–4     ◯ 5–8     ◯ 9–12     ◯ ≥13     ◯N/A—no salads
7. How are high fat sauces, condiments, and/or salad dressing served?
High fat sauces, condiments, salad dressing include cream-based, cheese-based, butter-based, or mayonnaise-based sauces.
Do not include ketchup, mustard, avocado
◯ Placed automatically on the dish     ◯ Served on the side automatically
◯ Served on the side by request     ◯ N/A—No condiments available
8. How many whole grain bread/tortilla wrap options are available?
Whole grain options include: wheat, oats, barley, rye
◯ 0     ◯ 1     ◯ 2     ◯ ≥3
9. How many healthier grab-and-go snack options are available?
Healthier Grab-n-Go option can include:
Granola/protein bars with low-sugar or no sugar added (<200 kcals)
Plain nuts/seeds and/or dried fruit/nut trail mixes without added sugar, candy, or chocolate (<200 kcals)
Dried fruit without added sugar (<200 kcals) and/or canned/packaged fruit in its own juice or water
Baked pre-packaged snacks (chips, pretzels) (<200 kcals)
Hummus, hard-boiled eggs, fresh veggies, whole fruit, etc.
◯ 0     ◯ 1–3     ◯ 4–7     ◯ 7–10     ◯ ≥11     ◯ N/A—no grab & go available
10. How many different healthy beverage options are available?
Healthy beverages are defined as:
Beverages with ≤25 calories per 8 oz service (exclude fruit juice and milk)
Water, including flavored, carbonated, and seltzer water
100% juice—fruit or vegetable juice with no added sugar
Fat free or 1% milk (both flavored or unflavored)
Fortified soy, almond, or rice milk with <12 g sugar per serving
◯ 0     ◯ 1–5     ◯ 6–10     ◯ 11–15     ◯ ≥16
BEHAVIORAL DESIGN
11. Are healthier items promoted outside the entrance (on the door, windows, or freestanding signs) so that you see the health messaging before you walk into the establishment?
◯ Yes     ◯ No
12. Inside the establishment, are there table tents, posters, or signs on the wall that promote healthier options?
◯ Yes     ◯ No
13. Are there healthier options (fresh fruit, baked chips, packaged plain nuts or seeds, trail mix) available at the point of service?
◯ Yes     ◯ No     ◯ N/A—sit-down restaurant
14. Are healthier beverages positioned at eye-level in the beverage cooler?
◯ Yes     ◯ No     ◯ N/A—no beverage cooler
15. Are healthier menu options identified (as “healthier” or with a logo) on menu boards or menus?
◯ Yes     ◯ No
16. With meal, can you substitute the less healthy default (e.g., fries or chips) for a healthier option (e.g., side salad or fruit) at no cost? NA = No combo meals
◯ Yes     ◯ No     ◯ N/A
17. Is health messaging/promotion of healthier substitutions emphasized and highly visible at the point of service? (e.g., highlighted on the menu, menu board, and/or sign by point of sale)
◯ Yes     ◯ No
18. Is the calorie information clearly visible (next to menu items) to customers?
◯ Yes     ◯ No
19. Is additional nutrition information (more than calories) available upon request by the customer?
Either on the website, in a handout, or booklet/binder
◯ Yes     ◯ No
20. Are the “healthier” items advertised as specials of the day or “chef’s specials”?
◯ Yes     ◯ No