Private or State (public) school? ________

Age of students for your wellbeing

interest?

1. Give a title for your

practice:___________

2. Please describe the practice of your

school?* (you can describe scope,

target group, and what your school is

doing)

3. Is it a targeted, universal, or whole

school practice?

4.Please specify the area you would categorize your

practice. (i.e. Mental Health, Nutrition, General Health, School, Home, Community, etc.)

5. How will you know if the practice is

successful? (i.e. data sources,

evidence)

Are you willing to be contacted about your

practice?

Yes/No

Name: