Assessments of nutrition environments at restaurants focus on eight types of food indicators: healthy main dish choices (low-fat, low-calorie, healthy main dish options), availability of fruits and vegetables without added sauce, whole grain bread and baked chips, beverages, children’s menus, signage and promotions, facilitators and barriers to healthy eating, pricing, and accessibility.
The NEMS-R tool has been updated since its original publication. The original published version of the instructions and the restaurant measures can be accessed by clicking on this link: NEMS-R survey and instructions. The updated version of the NEMS-R tool has an expanded kid’s menu.