2008-2009 School Lunch Survey

Student Name
E-mail address

Student Grade Level

I eat lunch in the cafeteria...
( Please select one: )

Often (4-5 days per week)
Sometimes
Never

        PLEASE INDICATE YOUR SCHOOL:

 

Please list your five favorite choices for main dishes (hamburgers, fried chicken, etc.)
 1.
2.
3.
4.
5.

Please list the two favorite vegetables you like to eat:
1.
2.

Please list the two favorite fruits you like to eat:
1.
2.

Please list any other food items you would like to have for lunch:
 1.
2.
3.

Please share anything else you would like to tell us.

Thank you for participating in our survey!