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?

Who participates? Or rather, who participated in the passing of the policy? Who are your coalition members?
This coalition is co-led by the department of health and the department of education.

5. Who does the strategy benefit most? Or, to put it another way, who is your target audience?

The target audience is school-aged children.

6. Where are you trying to implement the policy, system, or environmental change? Within a corporation or school system? Across a region (city, state)?

The program will be implemented state-wide in all the public schools.

7. Why did you choose to target this policy, system, or environmental change?

This change is essential to reducing the amount of 20 and older tabacco users. By cutting off the misconceptions of tabbacco use when…