Texas Nutrition Environment Assessment in Stores (TxNEA-S) Tool

The Texas Nutrition Environment Assessment in Stores (TxNEA-S) tool is a Texas adaptation of the Nutrition Environment Measures Survey in Stores (NEMS-S) tool. It can assess the availability, price, and quality of healthy foods in retail stores.

TxNEA-S (PDF, 180.0 KB) is the assessment tool used for grocery and convenience stores.

Please contact the Obesity Prevention Program for training and data entry materials. Report any data you collect using TxNEA-S to the Obesity Prevention Program. DSHS asks that if you publish articles or reports using the TxNEA-S tool, please cite the following reference:

  • Modified TxNEA-S (T-COPPE) (Word, 1.3 MB) This version was modified by the University of Texas School of Public Health/Dell Center for the Advancement of Healthy Living and Texas A&M to evaluate changes in access and availability as a result of the WIC Food Package changes in Texas.
  • Modified TxNEA-S (T-COPPE) Training Materials (Word, 5.3 MB)
  • Modified TxNEA-S (Central Texas Foodshed Project) (PDF, 180.0 KB) - This version was modified for the Central Texas Foodshed Project to evaluate the local food system in five Central Texas counties


Past Projects

Healthy Living Matters – Funded by the Houston EndowmentHealthy Living Matters is an initiative to understand the causes of childhood obesity in the Houston/Harris County region and find ways to reduce it. Healthy Living Matters is a collaborative led by the Harris County Public Health in partnership with the Harris County Health Care Alliance. A 2013 food access study took inventory of access to healthy foods using an adapted version of the TxNEA-S tool. The study included additional measures on snack foods, advertising, and the quality of the store environment. Simple random sampling was used to select food stores within a 2-mile radius of priority schools in Kashmere Gardens, Near Northside, and Pasadena neighborhoods. Outcomes of the assessment included recommendations on agriculture policies, food distribution practices, and healthy food accessibility and availability.

Texas Childhood Obesity Prevention Policy Evaluation (T-COPPE)- With funding from the Robert Wood Johnson Foundation, The Texas A&M Health Science Center School of Public Health and the Michael & Susan Dell Center for Healthy Living at The University of Texas School of Public Health Austin Regional Campus used a modified version of TxNEA-S to evaluate food allocation package revisions administered through Texas Women, Infants and Children (WIC) nutrition program to inform decision makers about the policy's effectiveness.

Central Texas Foodshed Assessment Project - As a part of the Central Texas Foodshed Assessment project, TxNEA-S was used to evaluate accessibility to healthy foods in 2009-2011 by evaluating availability, quality and cost of healthy foods at retail food outlets, including:

  • Grocery, convenience, and specialty stores; 
  • Farmers’ markets and farm stands;
  • Community, school, and backyard gardens; and
  • Federal nutrition assistance programs and emergency food agencies.

This project provided a comprehensive examination of the production capacity, distribution infrastructure, and availability of healthy food to meet the dietary needs of residents in Travis, Williams, Bastrop, Hays and Caldwell counties. University of Texas nutrition and nursing students were trained to collect data using TxNEA-S and completed assessments in 120 stores within the five-county target area.

External websites are intended to be informational and do not have the endorsement of the Texas Department of State Health Services. These sites may also not be accessible to people with disabilities.

If you are interested in using TxNEA, have any questions about this project, or would like to share information about your related project on this website please contact the Obesity Prevention Program