• Contact Us

    Obesity Prevention Program
    MC 1944
    P.O. Box 149347 Austin, Texas 78714-9347
    1100 West 49th Street, T-406
    Austin, TX 78756

    Phone: (512) 776-7111
    Fax: (512) 458-7618

    Email comments or questions

Texas Nutrition Environment Assessment in Restaurants (TxNEA-R) Tool

The Texas Nutrition Environment Assessment in Restaurants (TxNEA-R) tool is a Texas adaptation of the Nutrition Environment Measures Survey in Restaurants (NEMS-R) tool. The tool can be used to assess the nutrition environment of prepared food outlets in order to make healthy choices easier. To learn about the tool, first look at the Background Training Webinar. 


The TxNEA-R tool consists of:
• TxNEA-R Survey
• TxNEA-R Instructions
• TxNEA-R Glossary


**Note: The link on the title slide of each training has changed to http://www.dshs.texas.gov/Obesity/TXNEAR/.

The background training describes the purpose of the TxNEA-R tool, what interventions can result, and its limitations. The background training is required for project coordinators and recommended for raters.

The project coordinator training describes protocols and is required for project coordinators.

The rater training describes protocols and data collection practices and is required for raters and community coordinators. 

The data collection training describes the tool, instructions, and glossary definitions and is required for raters and community coordinators.


The TxNEA-R Manual describes the protocols for community coordinators and raters.

Possible Interventions

TxNEA-R Strategies

This resource describes strategies for improving for improving health outcomes in prepared food environments based on each question of the Texas Nutrition Environment Assessment in Restaurants (TxNEA-R) survey.

Effective Strategies for Making Healthy Choices Easier When Eating Out
This resource describes strategies which have been effective in helping customers make healthy choices when eating out and helping foodservice operators improve their business.

Technical Assistance
For technical assistance, email BringingHealthyBack@dshs.state.tx.us.


Last updated February 10, 2021