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


  1. A Guide to Measuring Advocacy and Policypdf icon[PDF-255KB]external icon


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


  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 icon
  2. Neighborhood Environment Walkability Survey (NEWS); Neighborhood Environment Walkability Survey–Abbreviated (NEWS-A). (Cincinnati Children’s Hospital Medical Center; San Diego State University)external icon
  3. Twin Cities Walking Survey (University of Minnesota)external icon


  1. Promoting Active Communities Award Application.(Michigan’s Promoting Healthy Communities)external icon
  2. Streets for People. (Transportation Alternatives)external icon
  3. The Robert Wood Johnson Foundationexternal icon
  4. Community Health Online Resource Center
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