This report provides results from the School Health Policies and Practices Study (SHPPS) conducted in 2012. Chapter 1 provides background and introduction to the report. Chapter 2 provides an overview of the methods used in the study. Chapter 3 reports results on health education, Chapter 4 reports results on physical education and activity, Chapter 5 reports results on health services, Chapter 6 reports results on mental health and social services, and Chapter 7 reports results on nutrition services and the school nutrition environment. Results related to a safe and healthy school environment are divided into two chapters. Chapter 8 covers general school environment topics, such as violence prevention; tobacco use prevention; and crisis preparedness, response, and recovery; Chapter 9 reports results specific to the physical school environment. Finally, Chapter 10 reports results on faculty and staff health promotion.