This study assessed school district superintendents' perceptions of sc
hoolsite health promotion in Missouri using a telephone survey method.
Superintendents of 150 school districts were sun eyed using The Works
ite Health Promotion for Faculty and Staff section of the Eight-Compon
ent Assessment. Staff identification of blood pressure, healthful cafe
teria menus, and smoke-free school policies were perceived as the most
frequently offered health-promoting activities. Quality of programs a
s perceived by district superintendents ranged from ''average'' to ''e
xemplary.'' For school districts not offering programs, healthful cafe
teria menus staff identification of blood pressure, and stress managem
ent were perceived by superintendents as highly necessary. The number
of programs offered in each area differed significantly by demographic
characteristics: accreditation classification, assessed valuation, si
ze and residence. Supportive attitudes by superintendents are critical
to attain schoolsite health promotion programs for faculty and staff
as part of a comprehensive school health program in Missouri.