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Hello! Thank you for your interest in using the Texas Nutrition Environment Assessment in Restaurants (TxNEA-R) tool. TxNEA-R was developed by the Texas Department of State Health Services to assess the consumer nutrition environment of prepared food outlets.

This survey is designed to be completed in one sitting, and the survey will take about 20-30 minutes to complete. There is not an option to “save and continue” the survey at a later time. Please do NOT return to the previous page because it will affect your survey outcome.

Some terminologies are underlined in the survey. Mouse over the underlined words for definitions and examples. If you have additional questions about the survey, you may contact Christina Thi at (512) 776-6348 or by email at [email protected].

Your survey responses will be strictly confidential. Thank you very much for your time and support.

***Before starting the survey, stand outside of the food outlet and take a photo of the building. You will be asked to upload the photo on the next page. Click on the Continue button below.
 
 
 
* Survey number (should be between 1-184):
   
 
 
* 3-digit Rater ID:
   
 
 
* Put the time you begin the survey. Choose AM or PM.
MonthDayYearHrs.Mins.AM/PM
    
 
 
Upload the photo below:
 
A. OUTSIDE OF FOOD OUTLET
This section of the tool can be completed before entering the food outlet.

**If the store is not open, make a note of the store hours to return when the store is open. If the store is permanently closed, or you cannot return, add the first alternate at the bottom of the list to your route.



* 1. Type of Food Outlet (Choose one)

Choose from one of the four main food outlet types (A-D) below or select (E) “other food outlet”. If the food outlet does not fit into any of these four categories;, describe it in the blank provided.
 
Table Service (A)
 
Fast food/fast casual (B)
 
Take-away (C)
 
In-store (D)
 
Other food outlet (E)
 

 
 
* Choose from one of the subtypes (1-3), or select "other", and fill in the blank.
 
Stand-alone restaurant (01)
 
In a hotel (02)
 
Other service (03)
 
 
 
* Choose from one of the subtypes (4-7), or select "other", and fill in the blank.
 
Cafeteria-style (04)
 
Buffet (05)
 
Fast-food (06)
 
Other fast (07)
 
 
 
* Choose from one of the subtypes (8-11), or select "other", and fill in the blank.
 
Food truck (08)
 
Food stand (09)
 
Carry-out (10)
 
Other take-away (11)
 
 
 
* Choose from one of the subtypes (12-15), or select "other", and fill in the blank.
 
Grocery store (12)
 
Gas station/convenience store (13)
 
Super store (14)
 
Other in-store (15)
 
 
2. Cusine (Choose one)
*
Determine which cuisine is served based on the name of the food outlet and the type of building. Double check your selection. If you are unsure, wait to determine the cuisine until after you have seen the menu. Choose the one cuisine that best describes the type of food outlet.

o Check "Breakfast/Brunch" if at least half of the items served are breakfast foods and beverages.

o Select "Deli/Café" if the menu is primarily, soups, salads, sandwiches and baked goods, even if half of the items are baked goods.

o If the food outlet doesn’t fit in any cuisine category, list it under "other" and, describe the options served, if needed (e.g. “Indian,” or “serves fried wings, pizza, pasta, and Mexican food”).

o If more than one cuisine is served, check the box with the MOST menu options. (e.g. select Mexican/Tex-Mex if most of the cuisine served is Mexican or Tex-Mex, even if pizza or burgers are served).
 
BBQ (q)
 
Deli/Cafe (d)
 
Mexican/Tex-Mex (t)
 
Italian (i)
 
Asian (a)
 
Pizza (p)
 
Breakfast/Brunch (b)
 
American (m)
 
Other (o)
 
 
 
* 3. Days Open, Hours of Operation

o Mark each day that the food outlet is open (Mon-Sun) or select “Open 24 hours, 7 days/week.”
 
Monday
 
Tuesday
 
Wednesday
 
Thursday
 
Friday
 
Saturday
 
Sunday
 
Open 24 hour, 7 days/week

 
Hours of Operation

o For each day the food outlet is open, write in the hours of operation (e.g. "11:00AM-05:00PM"). Factor in daily close times, if any.
(e.g. If it’s closed 03:00PM-05:00PM, you can put "11:00AM-03:00PM" and "05:00PM-09:00PM." If not, type "NA" in the second blank.).

o Do not take into account holiday hours, if posted.
_ _ : _ _ AM/PM - _ _ : _ _ AM/PM NA or _ _ : _ _ AM/PM - _ _ : _ _ AM/PM
* Monday
 
Hours of Operation

o For each day the food outlet is open, write in the hours of operation "11:00AM-05:00PM"). Factor in daily close times, if any.
(e.g. If it’s closed 03:00PM-05:00PM, you can put "11:00AM-03:00PM" and "05:00PM-09:00PM. If not, type "NA" in the second blank.".

o Do not take into account holiday hours, if posted.
_ _ : _ _ AM/PM - _ _ : _ _ AM/PM NA or _ _ : _ _ AM/PM - _ _ : _ _ AM/PM
* Tuesday
 
Hours of Operation

o For each day the food outlet is open, write in the hours of operation (e.g. "11:00AM-05:00PM"). Factor in daily close times, if any.
(e.g. If it’s closed 03:00PM-05:00PM, you can put "11:00AM-03:00PM" and "05:00PM-09:00PM. If not, type "NA" in the second blank.".

o Do not take into account holiday hours, if posted.
_ _ : _ _ AM/PM - _ _ : _ _ AM/PM NA or _ _ : _ _ AM/PM - _ _ : _ _ AM/PM
* Wednesday
 
Hours of Operation

o For each day the food outlet is open, write in the hours of operation (e.g. 1"11:00AM-05:00PM"). Factor in daily close times, if any.
(e.g. If it’s closed 03:00PM-05:00PM, you can put "11:00AM-03:00PM" and "05:00PM-09:00PM. If not, type "NA" in the second blank.".

o Do not take into account holiday hours, if posted.
_ _ : _ _ AM/PM - _ _ : _ _ AM/PM NA or _ _ : _ _ AM/PM - _ _ : _ _ AM/PM
* Thursday
 
Hours of Operation

o For each day the food outlet is open, write in the hours of operation (e.g. "11:00AM-05:00PM"). Factor in daily close times, if any.
(e.g. If it’s closed 03:00PM-05:00PM, you can put "11:00AM-03:00PM" and "05:00PM-09:00PM. If not, type "NA" in the second blank.".

o Do not take into account holiday hours, if posted.
_ _ : _ _ AM/PM - _ _ : _ _ AM/PM NA or _ _ : _ _ AM/PM - _ _ : _ _ AM/PM
* Friday
 
Hours of Operation

o For each day the food outlet is open, write in the hours of operation (e.g. "11:00AM-05:00PM"). Factor in daily close times, if any.
(e.g. If it’s closed 03:00PM-05:00PM, you can put "11:00AM-03:00PM" and "05:00PM-09:00PM. If not, type "NA" in the second blank.".

o Do not take into account holiday hours, if posted.
_ _ : _ _ AM/PM - _ _ : _ _ AM/PM NA or _ _ : _ _ AM/PM - _ _ : _ _ AM/PM
* Saturday
 
Hours of Operation

o For each day the food outlet is open, write in the hours of operation (e.g. "11:00AM-05:00PM"). Factor in daily close times, if any.
(e.g. If it’s closed 03:00PM-05:00PM, you can put "11:00AM-03:00PM" and "05:00PM-09:00PM. If not, type "NA" in the second blank.".

o Do not take into account holiday hours, if posted.
_ _ : _ _ AM/PM - _ _ : _ _ AM/PM NA or _ _ : _ _ AM/PM - _ _ : _ _ AM/PM
* Sunday
 
4. Is there a drive through for taking to-go orders?
* Check the perimeter of the building. 
 
Yes
 
No
 
5. Is the food outlet a chain or franchise ?
* The business has multiple locations, and the branding and product selection seem to be standard across locations.
 
Yes
 
No
 
6. Advertising and promotions (outside)

o Check the perimeter of the building for signage and advertisements for food and beverages.

o For each of the categories checked, write down the number of advertisements you see.

o If one ad fits in multiple categories, include it in the count next to each category. (e.g. A burger with French fries, and a soda would count as one ad each for under “less healthy foods” and “sugar sweetened beverages”. A burger with a salad and bottled water would count as one ad each under “less healthy foods” “healthier foods,” “healthier beverages.”)
Number of Ads
Less healthy foods
Healthier foods
Sugar-sweetened beverages
Healthier beverages
 
 
* Record the number of seats inside and outside the food outlet by walking around, if needed. Additionally, staff might know the capacity. If none, write 0.
   
 
“8. Is there an all-you-can-eat buffet?”

An “all-you-can-eat buffet” has mainly hot items and some cold items, including entrees and sides.
 
Yes
 
No
 
Is there a "free-standing salad bar"?
A “free-standing salad bar” has mainly cold items and soup.
 
Yes
 
No
 
9. Which complimentary items, if any, are automatically brought to the table before the meal without asking? (Choose all that apply.)

o Observe the items that are on the tables and identify if any are automatically brought to the table without asking. Also include foods that are available for free to serve yourself, such as a salsa bar.

o If there are no patrons, ask the staff what they serve before the meal or with the meal.

o If nothing is brought out or, if there is no table service, mark “none”

o If it is something else, such as peanuts or creamy salsa, check “other” and write it in the blank.
 
Water
 
Tortilla chips
 
Vegetable-based sauce (e.g. tomato, tomatillo, pepper,etc.)
 
Bread, cornbread, or biscuits
 
Butter or oil
 
None
 
Other:
 

 
C. Menu Review
Section C is completed by a review of the menu and asking questions of restaurant staff, if necessary.

Ask for a to-go menu or take a photo of the menu or menu board. You can complete the entire survey in the food outlet, or you can do part of the survey in the food outlet and go back to finish the menu review portion, and you can use the to-go menu or photo to double check your survey responses. Do not complete the menu review portion with menus posted online.

Use your best judgment and observations to complete this section. If there is no way of knowing the answer to a survey item and it is not indicated on the menu, ask the staff or call at a later time.


10. Which menu(s) is/are being reviewed? Choose all that apply. The review for the children’s menu starts on Question 20.

o Indicate which menus (breakfast, lunch, or dinner) are available during the time of the visit.

o Review the menu used for the time of day you arrive (e.g. use the lunch menu if it is the only menu used at lunch).

o If there is one main menu that includes breakfast, dinner, lunch, desserts*, etc. and the items for these meals are available for ordering, check each box.


Yes No
Breakfast
Brunch
Lunch
Dinner
Appetizers/Starters
Dessert
Bar
Seniors
Others (specify below)
 
 
Others
   
 
 
 
   
 
12. Proteins

o For each protein (lean and high-fat) on the menu, write the number that have a healthier cooking method and a less healthy cooking method.
- It may help to make tally marks as you count to keep track of different items.

o Count the same protein twice if it is prepared different ways (e.g., fried catfish and blackened catfish).
- Include beans, lentils, or cheese in this section ONLY if it is the main protein in the main course. (e.g., chili, grilled cheese, cheese enchiladas).
- Beans and lentils are counted as vegetable sides if they are not the main course.
Healthier Less Healthy Totals
Number of lean proteins
Number of high fat proteins
Total number of proteins offered on the menu
 
13. Vegetables and fruits

o Count the vegetable and fruit sides on the menu for each cooking method and write the number in the blank.
- If mixed vegetables or fruits are served, count it as one vegetable or fruit.

o Count the same item twice if it is prepared in different ways (e.g., sweet potatoes are served baked and fried).
Healthier Less Healthy Totals
Number of vegetables sides offered
Number of fruits sides offered
Total number of vegetable and fruit side options
 
 14. Meals with Fruits and Vegetables

o Count the number of main courses that have the option of including two or more vegetable or fruit sides.

o Count the number of meals that automatically include two vegetables or fruits prepared with a healthy cooking method as the default. Include those that have separate sides (e.g. served with broccoli and baked potato) and meals that have fruits or vegetables cooked into them (e.g. stir-fry, enchiladas, pasta dish with squash and peas, and rice dish with broccoli and carrots).

o Count the fruit or vegetable only if it is a substantial part of the meal, but not if it is a garnish (e.g., lettuce and tomato on a sandwich or salsa on top of seafood or in a burrito)
Number
Number of meals with at least 2 vegetable or fruit side options
Number of meals with at least 2 vegetable or fruit with a healthier cooking method as default sides or as part of the main course
 
15. Grains
How many of the following items are available?


o Write the total for each type of grain, if any, is served as part of the meal.

o Count each type separately.
- For example, count white rice and brown rice as 2 under total number of grains.
- Do not include grains that are served complimentary before the meal, such as tortilla chips and rolls.

o Count the number of main courses that include a whole grain as the default type of grain.
- This means it is automatically served as part of the meal. Examples include tacos served on corn tortillas, unless a request is made for flour tortillas.
Numbers
Grains
Whole grains
Main courses with a whole grain included or as the default side
 
16. Desserts (not plain fruit)
How many of the following items are available?


o If there is dessert, add the total number of desserts. Count different dessert combinations separately. (e.g., apple pie, ice cream, and apple pie a la mode count as 3 desserts)

o If there is no dessert listed on the menu write a zero.

o Write the number of meals that include a dessert at no extra charge. (e.g, ice cream is free with every meal)
Numbers
Desserts
Meals that come with a dessert
 
17. Beverages
How many of the following beverages are available?


o For each beverage option, write the total number of options offered on the menu.
- If none, enter "0."
- Only include beverages at gas stations and grocery stores if they are served at the prepared food counter.

o Indicate whether any of the drinks in each category have free refills.
- If previous answer is "0," select "NA."
NumberFree refills?
Unsweetened no-calorie beverages
Diet soda or other diet beverages
Sugar sweetened beverages
Unsweetened milk or milk product
100% fruit juice
 
 
18. Advertisements and displays are available. 

Observe the menus, signs, table tents, banners, posters and other promotional items inside the food outlet.
 
Yes
 
No
 
For each of the categories selected "Yes", type in the number of advertisements you see. For each of the categories selected "No", enter "NA."

If one ad fits in multiple categories, include it in the count next to each category. (e.g.. A burger with French fries, and a soda would count as one ad each for under “less healthy” and “sugar sweetened beverages. A burger with a salad and bottled water would count as one ad each under “less healthy” “healthy foods,” “healthier beverage.”)
Yes/NoNumber of advertisements/displays
Less healthy foods
Healthier foods
Sugar-sweetened beverages
Healthier beverages
 
 
Healthy options are identified and/or prominently displayed in the follow ways (Select all that apply):

Check the box if healthier options are called out in any way to bring attention to them.
 
Participating in a branded recognition program
 
Nutrition information labeled
 
Health-related pictures, symbols or logos
 
Key words used
 
Highlighted using bold, larger or different font
 
Listed first in each menu category
 
Healthy options are NOT identified or prominently displayed.
 
Other:
 

 
 
Smaller size portions are listed on the menu or meals can be split (including kids and seniors menu items).
 
Yes
 
No
 
 
Check all that apply for ordering smaller portions.

 
Age restrictions
 
Time restrictions
 
Smaller portion priced lower than full size portion
 
No charge for splitting meals

 
 
Substitutions are allowed.

If this is not on the menu, ask if there is a charge for substitutions .
 
Yes (extra charge)
 
Yes (no extra charge)
 
No
 
Not sure
 
Check the box if the menu includes items worded in a way to promote larger portions.

Look for words like "huge," "colossal," "super-size," and "Texas-sized."
Yes No
Wording on menu encourages larger portions
 
Check the box if there are lower prices for meal combinations

e.g., fries and a drink can be added to your meal for $1.50, but would cost $2, if ordered separately
Yes No
Lower price for adding or bundling items
 
19. Children's Menu
Yes No
* Children's menu available?
 
20. Children's Menu Age Limit
Yes No Not sure
Is there an age limit on order off of the children's menu?
 
 
Age limit for ordering from the children's menu:
   
 
21. What is the default beverage served with the meal?

o Note that the question is asking to identify the default beverage. Check the box if any of the beverages listed automatically comes with any of the children’s meals, (unless something else is requested).

o Describe "other default beverage" in the blank provided if the default beverage is not listed.

o Check the box for “free refills” to indicate which of those beverages get free refills, regardless of whether they are a default. (e.g. diet soda does not automatically come with the meal, but has free refills). If the drink is not available, select "NA."
Default beverageFree refills?
Unsweetened no-calorie beverages
Sugar sweetened beverages
Unsweetened milk or milk product
100% fruit juice
No default beverage
 
 
  
Other default beverage
 
 
22. Number of main courses on the children's menu:

o Count the total number of main courses on the menu.

o If a main course has multiple options, count each separately. For example, you can order tacos with beef, chicken or beans (3 main courses); you can order a salad plain, or with shrimp (2 main courses).

o If the main course has multiple portion sizes, count each separately (e.g. 5 or 8 chicken nuggets)

o Include dinner salads and large bowls of soup. Do not include appetizers, side salads, soups, or desserts.

o If there are daily specials, only count the special(s) for that day.
   
 
23. Proteins on children's menu

o For each protein (lean and high-fat) on the menu, write the number that have a healthier cooking method and a less healthy cooking method.
- It may help to make tally marks as you count to keep track of different items.

o Count the same protein twice if it is prepared different ways (e.g., fried catfish and blackened catfish).
- Include beans, lentils, or cheese in this section ONLY if it is the main protein in the main course. (e.g., chili, grilled cheese, cheese enchiladas).
- Beans and lentils are counted as vegetable sides if they are not the main course.
Healthier Less Healthy Totals
Number of lean proteins
Number of high fat proteins
Total number of proteins offered on the menu
 
24. Vegetables and fruits on Children's Menu

o Count the vegetable and fruit sides on the menu for each cooking method and write the number in the blank.
- If mixed vegetables or fruits are served, count it as one vegetable or fruit.

o Count the same item twice if it is prepared in different ways (e.g., sweet potatoes are served baked and fried).
Healthier Less Healthy Totals
Number of vegetables sides offered
Number of fruits sides offered
 
o Count the number of main courses that have the option of including two or more vegetable or fruit sides.

o Count the number of meals that automatically include two vegetables or fruits prepared with a healthy cooking method as the default. Include those that have separate sides (e.g. served with broccoli and baked potato) and meals that have fruits or vegetables cooked into them (e.g. stir-fry, enchiladas, pasta dish with squash and peas, and rice dish with broccoli and carrots).

o Count the fruit or vegetable only if it is a substantial part of the meal, but not if it is a garnish (e.g., lettuce and tomato on a sandwich or salsa on top of seafood or in a burrito)
Number
Number of main courses with at least 2 vegetable or fruit side options
Number of meals with at least 2 vegetable or fruit with a healthier cooking method as default sides or as part of the main course
 
25. Grains on Children's Menu 

o Write the total for each type of grain, if any, is served as part of the meal.

o Count each type separately.
- For example, count white rice and brown rice as 2 under total number of grains.
- Do not include grains that are served complimentary before the meal, such as tortilla chips and rolls.

o Count the number of main courses that include a whole grain as the default type of grain.
- This means it is automatically served as part of the meal. Examples include tacos served on corn tortillas, unless a request is made for flour tortillas.
Number
Grains
Whole grains
Number of main courses with a whole grain included as the default side or within the entree
 
26. Children's Menu Advertising and Promotions

o Check the box if a non-fried side item can be substituted for the side that comes with the children’s meal. (e.g., a salad can be substituted for the fries or chips that are served with the meal.)

o Check the box if a dessert is automatically served with a children’s meal at no additional charge, unless the dessert is fresh or canned fruit.

o Check the box if nutrition information is printed on the children’s menu.

o Check the box if targeted promotion or branded marketing are used to promote any of the items on the kids menu.

Yes No
A vegetable, fruit or whole grain prepared with a healthier cooking method can be substituted for assigned side with no extra charge.
Dessert (other than fruit) is included with the meal
There is nutrition information on the menu.
Targeted promotion, such as branded marketing, is included on children's menu items or meals.
 
 
Targeted promotion is available for:

 
Healthier foods and beverages
 
Less healthy foods or sugar sweetened beverages

 
 
Number of promotions for healthier foods or healthier beverages

Count the number of promotions for healthier and less healthy foods or beverages. (e.g., there is a promotion of healthy kids menu items like apples on the menu and there are cartoon characters on the menu board next to the kids items that include healthier and less healthy items = 2 healthier and 1 less)
   
 
 
Number of promotions for less healthy foods or sugar-sweetened beverages

Count the number of promotions for healthier and less healthy foods or beverages. (e.g., there is a promotion of healthy kids menu items like apples on the menu and there are cartoon characters on the menu board next to the kids items that include healthier and less healthy items = 2 healthier and 1 less)
   
 
 
* Time end
MonthDayYearHrs.Mins.AM/PM