CDC's Healthy Community Program Success Story Worksheet (modified version)

Thank you for choosing to share your story! This worksheet will help you gather and organize information. As you read each question, imagine you are telling a friend about your program or strategy. What is the first thing you would tell them that answers the question?

Consider this a summary of your policy, system, or environmental change strategy that you'll reference later. Keep your answers short, no more than a sentence if you can.

Do you have a name for the policy, system, or environmental change strategy you're trying to implement?

What risk factors does it address?

It addresses misinformation among school children regarding tabacco use and its popularity by raising children's self-esteem to a high enough level that they overcome unhealthy peer pressure to smoke.

What kind of change are you trying to implement?

The goal is to reduce the...
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