NEMS-GRAB AND GO: FOOD ENVIRONMENT ASSESSMENT Rater ID:

________________

wsycnimsonwub
Store ID: __ __ - __ - __ __ - __ __ __ __ 24 Fab 2022
Date: ____________________

06300
Start time: __ __:__ __ AM PM End time: 07150
__ __:__ __ AM PM
BB= Scores
for
Hours of Operation (00:00-23:59) Results
Monday _____-_____ Thursday _____-_____ Sunday _____-_____
Tuesday _____-_____ Friday _____-_____
Wednesday _____-_____ Saturday _____-_____

MENU LABELLING
0
Evidence of nutrition labelling at point-of-purchase for non pre-packaged foods: Y / N 2

Definition of Grab and Go for the purposes of this assessment tool: Any food item in store that is fully prepackaged OR
transferrable to take-out packaging with no substantial assembly or transformation. Optional heating of food item is OK.
Examples of Grab and Go items: toasted bagel (considered a form of heating); pizza slice; soup; salad bar
Examples of items that do not qualify: sandwiches or wraps that require assembly / made to order

1
FOODS COMPRISED OF ONLY ONE FOOD GROUP * all FREE
WHOLE FRUITS

/
Question Availability Price
Bananas: Available?
0
Y / N Price per ONE banana

3 $
Apples: Available?
0
Y / N Price per ONE apple
$
Oranges: Available? 0
Y / N Price per ONE orange
$
Other whole fresh fruits: Available? 0
Y / N
List fruits: TOTAL # of kinds of whole fruits, including
bananas, apples, and oranges:
grapes I
________

2
 I
FRESH FRUIT AND VEGETABLE COMBINATIONS
Question Availability Price
Fresh fruit packages: Available? •
Y / N Lowest price per ONE fruit package:
Example: mixed fruit cup; apple slices 2
Total # of options: _____ $
List options: fruit out , apple slices 4
Highest price per ONE fruit package:
Are dips included? How many healthier options? Low fat dip 0
Y / N $
or not in syrup i
Total # of healthy dip options: _____
List options: Wummus

Vegetable packages: Available?

0
Y / N Lowest price per ONE vegetable package:
Example: veggie sticks; non-protein salads 3
Total # of options: _____ $
List options: Carrots salads ,
lettuce
,
4 Highest price per ONE vegetable package:
$
Are dips/dressings included? How many healthier options? 0
Y / N
Vinaigrette or low fat alternative
Total # of healthy dip/dressing options:
List dip/dressing options: Italian ,
balsamic 2
_____

3
GRAINS

I
Question Availability Price
Bagel: Plain (white) bagel: Available?
0
Y / N Price for ONE white bagel:
$
Healthier option available? Whole grain or whole wheat 0
Y / N 2 Lowest price for WG/WW:
(WG/WW) alternative
Total # of whole grain or whole wheat $
List options: Whole grain english muffing p
options: _____
Highest price for WG/WW:
$

Bread/toast: White bread: Available?

•
Y / N Price for TWO slices white bread:
$
2
Healthier option available? Whole grain or whole wheat Y / N Lowest price for WG/WW:
(WG/WW) alternative
Total # of whole grain or whole wheat $
List options: p
options: _____
Highest price for WG/WW:
100% Whole wheat bread $

Muffin: Available? Y / N 0 Price for ONE regular muffin:

$
Healthier option available? LOW FAT alternative Y / N Lowest price for healthier option:
List options: Total # of healthy options: _____ $
Highest price for healthier option:
$

4
DAIRY

/
Question Availability Price
Yogurt: Availability? 0
Y / N Price for ONE regular yoghurt:
$
3
Healthier option available? 2% or lower fat yogurt •
Y / N Lowest price for healthier option:
List options: .
Total # of healthy options: _____ $
Fat free Plain Highest price for healthier option:
$

5
 FOODS COMPRISED OF MORE THAN ONE FOOD GROUP

:/
SNACKS
Question Availability Price
Yogurt: Available? Y / N Price for regular parfaits:
$
Healthier option available? Sugar-free OR 1% or lower fat O
Y / N
yogurt o
Total # of healthier options: _____ Lowest price for healthier option:
List options:
$
Fat freer Plain
Highest price for healthier option:

banana chips Chia seeds , fruit $

,
Chips: Available? 0
Y / N Price for regular chips:
$
Healthier option available? Baked chips •
Y / N
List options: Total # of healthier options: _____ Lowest price for healthier option:
✗2 flavors
Sun chips $
2 Highest price for healthier option:
$

ENTRÉES
Question Availability Price
Wrap: Available?
rotating O
Y / N Lowest price for ONE regular wrap:
p
Healthier option available? Whole grain, healthier protein Y / N $
(lean poultry, fish, or vegetable-based protein), grilled
Total # of healthier options: _____
preparation, vegetarian/vegan alternative
List ALL wrap options: Lowest price for healthier option:

6
?⃝
 |
$
Highest price for healthier option:
$
Sandwich: Available? Rotating O
Y / N Lowest price for ONE regular sandwich:
Healthier option available? Whole grain, healthier protein O
Y / N $
(lean poultry, fish, or vegetable-based protein), grilled "
Total # of healthier options: _____
preparation, vegetarian/vegan alternative
List ALL sandwich options: Lowest price for healthier option:
$
Hyo breakfast
sandwich
z Highest price for healthier option:
""
" "
" $

Salad bar: Available? Y /o

N Price per 100g:
List fruits and vegetables: Total # of healthier options: _____ $ /100g
OR
List protein items: Pnemade of Price per 1oz:

salad week $ /oz

List grain items: the

List dairy and alternatives items:

7
 |
Entrée salads: Available? Y /0
N Lowest price for ONE regular salad:
Definition: mainly vegetables with some protein $
Healthier option available? Healthier protein (lean poultry, Y / N
fish, or vegetable-based protein); vinaigrette or low fat
Total # of healthier options: _____ Lowest price for healthier option:
dressing
List ALL entrée salad options: $
Highest price for healthier option:
$

Grain-based salad: Available? 0

Y / N Lowest price for ONE regular salad:
Definition: mainly pasta with other ingredients $
Healthier option available? Healthier protein (lean poultry, •
Y / N Lowest price for healthier option:
fish, or vegetable-based protein); vegetarian/vegan; .
Total # of healthier options: _____
vinaigrette or low fat dressing $

List ALL pasta salad options: Highest price for healthier option:

Mediterranean Pasta Salad p $

Soup: Available? Y /0
N Lowest price for ONE regular soup:
Healthier option available? Vegetarian/vegan or low sodium Y / N $
List ALL soup options: Total # of healthier options: ______

Lowest price for healthier option:

8
 :|
$
Highest price for healthier option:
$

Sushi: Available? Y / N Lowest price for ONE regular sushi:

Healthier option available? Vegetarian/vegan or brown rice Y / N $
List ALL sushi options: Total # of healthier options: ______

Lowest price for healthier option:

$
Highest price for healthier option:
$

Pizza: Available? Y / N Lowest price for ONE slice of pizza:

Healthier option available? Vegetarian/vegan or whole Y / N $
wheat/whole grain
Total # of healthier options: ______ Lowest price for healthier option:
List ALL pizza options
$
Highest price for healthier option:
$

9
 |
BEVERAGES
Question Availability Price
Milk: Available? °
Y / N Price for lowest fat % milk:
Lowest fat milk available? Skim / 1% / 2% ° $
per ______ mL
3
100% Fruit Juice: Available? 0
Y / N Price for ONE regular juice:
List options: $
2
apple , Orange , Pineapple , Cranberry per ______ mL

÷
Caffeinated Beverages (tea or coffee): Availability? Y / N Price for ONE medium/tall drip coffee:
Decaf available? Y / N $
1% or skim milk available at milk bar? Y / N Price for ONE medium/tall black tea:
Calorie-free sweetener available at milk bar? Y / N $

Definitions B- costing Points

Low fat dip = package indicates low fat, vinaigrette
Low fat muffin = store/package indicates low fat
Low fat yogurt = 1% fat or less
total -75-13
-

Low fat yogurt-based parfait = store/package indicates 1% fat or less

-34=-551
Sugar-free parfait = no added sugar indicated on packaging
.

Baked chips = package indicates baked

62
10
Healthy protein in wraps, sandwiches = poultry or fish
Healthy preparation in wraps, sandwiches = cooking methods that do not use relatively large amounts of fat, e.g. boiling, broiling,
grilling, steaming, roasting, braising, poaching, raw)
Healthy dressing = low fat (indicated on package), vinaigrette
Healthy sauce = tomato or vegetable based sauce

11