Local Wellness Policy Report Card Online Tool
The Local School Wellness Policy Final Rule requires that at a minimum, an assessment of the local wellness policy be conducted once every three years. The School Food Authority (SFA) must develop a triennial assessment report that describes:
• The extent to which schools comply with the wellness policy,
• A description of progress made in attaining the goals of the wellness policy, and
• The extent to which the wellness policy compares to a model wellness policy.
While there is local discretion on the format of the report, the School Nutrition Team encourages using this tool to assess the extent to which schools comply with the wellness policy and provide a description of progress made in attaining the goals of the wellness policy. Once the Local Wellness Policy Report Card form is submitted, a report will be generated and emailed to you. This report can be used to communicate the triennial assessment results to the public.
To complete the report card, enter all objective statements found in your Local Wellness Policy under the appropriate category. There are six categories that comprise a comprehensive policy:
• Nutrition Standards for All Foods,
• Nutrition Promotion,
• Nutrition Education,
• Physical Education/Activity,
• Other School-Based Wellness Strategies, and
You do not need to have objective statements under each category to complete the Report Card. Each category has space for ten objectives. If additional space is needed, please contact Wisconsin Team Nutrition (
). At the end of each category section, there is a place to enter a description of the work you have done and progress made in achieving your policy goals. Finally, SFAs are encouraged to complete the WellSAT (
) to assess how your policy compares to a model policy. There is a section at the end of this tool to include your WellSAT results.
Date of Policy Adoption
Date of Policy Review
Wellness Policy Coordinator Name
A valid email address is required to receive a copy of your completed report card.
Contact Person (if different from coordinator)
Contact Person Email Address
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This form was created inside of Wisconsin Department of Public Instruction.