Additional Resources

The resources included in this list were identified as the CHANGE tool was developed and have been used by other communities in their assessment and evaluation activities. CDC does not endorse one resource over another. This is not an exhaustive list; if you have other resources that may assist in your work please use them instead of, or in addition to, the ones listed here.

Tools and Assessments

  1. BRAT-Direct Observation (BRAT-DO). (Louisiana State University School of Public Health)External
  2. Community Assessment Tool. (National Center for Bicycling & Walking)Cdc-pdf[PDF-145KB]External
  3. Designing Healthy Environments at Work (DHEW). (Michigan Health Tools)External
  4. Environmental Nutrition & Activity Community Tool (ENACT) (Prevention Institute)
  5. Core Measures of Trail Use. (University of Southern California; IUPUI; Harvard School of Public Health)External
  6. Environmental Assessment of Public Recreation Spaces (EAPRS) Tool. (Cincinnati Children’s Hospital Medical Center)External
  7. Healthy Community Checklist. (Michigan Health Tools)External
  8. Healthy School Action Tool (HSAT). (Michigan Health Tools)External
  9. Measurement Instrument for Urban Design Quantities Related to Walkability. (University of Maryland)External
  10. Nutrition Environment Assessment Tool (NEAT). (Michigan Health Tools)External
  11. Path Environment Audit Tool (PEAT). (Harvard School of Public Health; University of Connecticut)External
  12. Pedestrian Environment Data Scan (PEDS) Tool. (University of Maryland)External
  13. Physical Activity Resource Assessment (PARA) Instrument. (University of Houston)External
  14. Saint Louis Environment and Physical Activity Instrument. (Saint Louis University School of Public Health)External
  15. School Health Index for Physical Activity and Healthy Eating: A Self-Assessment and Planning Guide. Elementary School version. (Centers for Disease Control and Prevention)Cdc-pdf[PDF-1.97MB]
  16. School Health Index for Physical Activity and Healthy Eating: A Self-Assessment and Planning Guide. Middle School/High School version. (Centers for Disease Control and Prevention)Cdc-pdf[PDF-1.47MB]
  17. SOPARC: System for Observing Play and Recreation in Communities. (San Diego State University; RAND Corporation)External
  18. SOPLAY: System for Observing Play and Leisure Activity in Youth. (San Diego State University)External
  19. The Community Tool Box WorkstationExternal
  20. Walkability Audit Tool. (Healthier Worksite Initiative/CDC)Cdc-pdf[PDF-39.3KB]


  1. A Guide to Measuring Advocacy and PolicyCdc-pdf[PDF-255KB]External


  1. Analytic Audit Tool and Checklist Audit Tool. (Saint Louis University)External
  2. Bikeability Checklist (National Highway Traffic Safety Administration/Pedestrian and Bicycle Information Center/U.S. Department of Transportation)External
  3. Irvine Minnesota Inventory. (University of California, Irvine; University of Minnesota)External


  1. Key Outcome Indicators for Evaluating Comprehensive Tobacco Control Programs. (Office on Smoking and Health, Centers for Disease Control)


  1. Environmental Supports for Physical Activity Questionnaire. (University of South Carolina Prevention Research Center)External
  2. Neighborhood Environment Walkability Survey (NEWS); Neighborhood Environment Walkability Survey–Abbreviated (NEWS-A). (Cincinnati Children’s Hospital Medical Center; San Diego State University)External
  3. Twin Cities Walking Survey (University of Minnesota)External


  1. Community Health Improvement Partnership (CHIP)—A Rural Community Health Development ProcessExternal
  2. Promoting Active Communities Award Application.(Michigan’s Promoting Healthy Communities)External
  3. Streets for People. (Transportation Alternatives)External
  4. The Robert Wood Johnson FoundationExternal
  5. Community Health Online Resource Center