School Lunch Survey

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* 2. Gender

Male

Female

Prefer not to answer

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* 3. Please rate the following breakfast menu items.
1 = Discontinue, 5 = Favorite

	1	2	3	4	5	N/A
Bagel & Cream Cheese	Bagel & Cream Cheese 1	Bagel & Cream Cheese 2	Bagel & Cream Cheese 3	Bagel & Cream Cheese 4	Bagel & Cream Cheese 5	Bagel & Cream Cheese N/A
Breakfast Burro	Breakfast Burro 1	Breakfast Burro 2	Breakfast Burro 3	Breakfast Burro 4	Breakfast Burro 5	Breakfast Burro N/A
Breakfast Sandwich	Breakfast Sandwich 1	Breakfast Sandwich 2	Breakfast Sandwich 3	Breakfast Sandwich 4	Breakfast Sandwich 5	Breakfast Sandwich N/A
Cereal	Cereal 1	Cereal 2	Cereal 3	Cereal 4	Cereal 5	Cereal N/A
Eggs & Potato	Eggs & Potato 1	Eggs & Potato 2	Eggs & Potato 3	Eggs & Potato 4	Eggs & Potato 5	Eggs & Potato N/A
French Toast Sticks	French Toast Sticks 1	French Toast Sticks 2	French Toast Sticks 3	French Toast Sticks 4	French Toast Sticks 5	French Toast Sticks N/A
Pancakes	Pancakes 1	Pancakes 2	Pancakes 3	Pancakes 4	Pancakes 5	Pancakes N/A
PB&J Sandwich	PB&J Sandwich 1	PB&J Sandwich 2	PB&J Sandwich 3	PB&J Sandwich 4	PB&J Sandwich 5	PB&J Sandwich N/A

New item request

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* 4. Please rate the following lunch menu items.
1 = Discontinue, 5 = Favorite

	1	2	3	4	5	N/A
Baked Chicken	Baked Chicken 1	Baked Chicken 2	Baked Chicken 3	Baked Chicken 4	Baked Chicken 5	Baked Chicken N/A
Bean & Cheese Burro	Bean & Cheese Burro 1	Bean & Cheese Burro 2	Bean & Cheese Burro 3	Bean & Cheese Burro 4	Bean & Cheese Burro 5	Bean & Cheese Burro N/A
Beef Pasta Bake	Beef Pasta Bake 1	Beef Pasta Bake 2	Beef Pasta Bake 3	Beef Pasta Bake 4	Beef Pasta Bake 5	Beef Pasta Bake N/A
Chicken Chilaquiles	Chicken Chilaquiles 1	Chicken Chilaquiles 2	Chicken Chilaquiles 3	Chicken Chilaquiles 4	Chicken Chilaquiles 5	Chicken Chilaquiles N/A
Chicken Fettucine Alfredo	Chicken Fettucine Alfredo 1	Chicken Fettucine Alfredo 2	Chicken Fettucine Alfredo 3	Chicken Fettucine Alfredo 4	Chicken Fettucine Alfredo 5	Chicken Fettucine Alfredo N/A
Chicken Sandwich	Chicken Sandwich 1	Chicken Sandwich 2	Chicken Sandwich 3	Chicken Sandwich 4	Chicken Sandwich 5	Chicken Sandwich N/A
Chicken Soft Tacos	Chicken Soft Tacos 1	Chicken Soft Tacos 2	Chicken Soft Tacos 3	Chicken Soft Tacos 4	Chicken Soft Tacos 5	Chicken Soft Tacos N/A
Chicken Stir Fry	Chicken Stir Fry 1	Chicken Stir Fry 2	Chicken Stir Fry 3	Chicken Stir Fry 4	Chicken Stir Fry 5	Chicken Stir Fry N/A
Chicken Tenders	Chicken Tenders 1	Chicken Tenders 2	Chicken Tenders 3	Chicken Tenders 4	Chicken Tenders 5	Chicken Tenders N/A
Chimichanga	Chimichanga 1	Chimichanga 2	Chimichanga 3	Chimichanga 4	Chimichanga 5	Chimichanga N/A
Hamburger	Hamburger 1	Hamburger 2	Hamburger 3	Hamburger 4	Hamburger 5	Hamburger N/A
Picadillo Burrito	Picadillo Burrito 1	Picadillo Burrito 2	Picadillo Burrito 3	Picadillo Burrito 4	Picadillo Burrito 5	Picadillo Burrito N/A
Pizza	Pizza 1	Pizza 2	Pizza 3	Pizza 4	Pizza 5	Pizza N/A
Pollo ala Mexicana	Pollo ala Mexicana 1	Pollo ala Mexicana 2	Pollo ala Mexicana 3	Pollo ala Mexicana 4	Pollo ala Mexicana 5	Pollo ala Mexicana N/A
Spaghetti & Meatballs	Spaghetti & Meatballs 1	Spaghetti & Meatballs 2	Spaghetti & Meatballs 3	Spaghetti & Meatballs 4	Spaghetti & Meatballs 5	Spaghetti & Meatballs N/A
BBQ Chicken Sandwich (new item)	BBQ Chicken Sandwich (new item) 1	BBQ Chicken Sandwich (new item) 2	BBQ Chicken Sandwich (new item) 3	BBQ Chicken Sandwich (new item) 4	BBQ Chicken Sandwich (new item) 5	BBQ Chicken Sandwich (new item) N/A
Chef Salad (new item)	Chef Salad (new item) 1	Chef Salad (new item) 2	Chef Salad (new item) 3	Chef Salad (new item) 4	Chef Salad (new item) 5	Chef Salad (new item) N/A
Sub Sandwich (new item)	Sub Sandwich (new item) 1	Sub Sandwich (new item) 2	Sub Sandwich (new item) 3	Sub Sandwich (new item) 4	Sub Sandwich (new item) 5	Sub Sandwich (new item) N/A
Sweet & Sour Chicken (new item)	Sweet & Sour Chicken (new item) 1	Sweet & Sour Chicken (new item) 2	Sweet & Sour Chicken (new item) 3	Sweet & Sour Chicken (new item) 4	Sweet & Sour Chicken (new item) 5	Sweet & Sour Chicken (new item) N/A

New item request

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* 5. Please rate the following side items.
1 = Discontinue, 5 = Favorite

	1	2	3	4	5	N/A
Baked Fries	Baked Fries 1	Baked Fries 2	Baked Fries 3	Baked Fries 4	Baked Fries 5	Baked Fries N/A
Brown Rice	Brown Rice 1	Brown Rice 2	Brown Rice 3	Brown Rice 4	Brown Rice 5	Brown Rice N/A
Carrot Sticks	Carrot Sticks 1	Carrot Sticks 2	Carrot Sticks 3	Carrot Sticks 4	Carrot Sticks 5	Carrot Sticks N/A
French Fries	French Fries 1	French Fries 2	French Fries 3	French Fries 4	French Fries 5	French Fries N/A
Fruit	Fruit 1	Fruit 2	Fruit 3	Fruit 4	Fruit 5	Fruit N/A
Garden Salad	Garden Salad 1	Garden Salad 2	Garden Salad 3	Garden Salad 4	Garden Salad 5	Garden Salad N/A
Home Fries	Home Fries 1	Home Fries 2	Home Fries 3	Home Fries 4	Home Fries 5	Home Fries N/A
Mashes Potatos	Mashes Potatos 1	Mashes Potatos 2	Mashes Potatos 3	Mashes Potatos 4	Mashes Potatos 5	Mashes Potatos N/A
Mixed Vegeatables	Mixed Vegeatables 1	Mixed Vegeatables 2	Mixed Vegeatables 3	Mixed Vegeatables 4	Mixed Vegeatables 5	Mixed Vegeatables N/A
Pasta Salad	Pasta Salad 1	Pasta Salad 2	Pasta Salad 3	Pasta Salad 4	Pasta Salad 5	Pasta Salad N/A
Refried Beans	Refried Beans 1	Refried Beans 2	Refried Beans 3	Refried Beans 4	Refried Beans 5	Refried Beans N/A
Roasted Veggies	Roasted Veggies 1	Roasted Veggies 2	Roasted Veggies 3	Roasted Veggies 4	Roasted Veggies 5	Roasted Veggies N/A
Spanish Rice	Spanish Rice 1	Spanish Rice 2	Spanish Rice 3	Spanish Rice 4	Spanish Rice 5	Spanish Rice N/A
Steamed Rice	Steamed Rice 1	Steamed Rice 2	Steamed Rice 3	Steamed Rice 4	Steamed Rice 5	Steamed Rice N/A
Steamed Veggies	Steamed Veggies 1	Steamed Veggies 2	Steamed Veggies 3	Steamed Veggies 4	Steamed Veggies 5	Steamed Veggies N/A
Tex-Mex Salad	Tex-Mex Salad 1	Tex-Mex Salad 2	Tex-Mex Salad 3	Tex-Mex Salad 4	Tex-Mex Salad 5	Tex-Mex Salad N/A

New item request

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* 6. Do you get school lunch or breakfast 2 or more times per week?

Yes

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* 7. Would you get food at school more often depending on the results of this survey?

Yes

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* 8. I choose to have vegetarian options only. I understand that adding my name to the vegetarian list means that I cannot get the meat option until the line has gone through and it's determined if there is enough extra.

Yes

If yes, please include your first and last name

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* 9. I am interested in having a follow up discussion to give more feedback on the meal program

Yes

If interested, please include your first and last name

School Lunch Survey

City High School Menu Survey

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* 1. Grade

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* 2. Gender

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* 3. Please rate the following breakfast menu items.
1 = Discontinue, 5 = Favorite

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* 4. Please rate the following lunch menu items.
1 = Discontinue, 5 = Favorite

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* 5. Please rate the following side items.
1 = Discontinue, 5 = Favorite

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* 6. Do you get school lunch or breakfast 2 or more times per week?

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* 7. Would you get food at school more often depending on the results of this survey?

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* 8. I choose to have vegetarian options only. I understand that adding my name to the vegetarian list means that I cannot get the meat option until the line has gone through and it's determined if there is enough extra.

Question Title

* 9. I am interested in having a follow up discussion to give more feedback on the meal program

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* 1. Grade

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* 2. Gender

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* 3. Please rate the following breakfast menu items.1 = Discontinue, 5 = Favorite

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* 4. Please rate the following lunch menu items.1 = Discontinue, 5 = Favorite

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* 5. Please rate the following side items.1 = Discontinue, 5 = Favorite

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* 6. Do you get school lunch or breakfast 2 or more times per week?

Question Title

* 7. Would you get food at school more often depending on the results of this survey?

Question Title

* 8. I choose to have vegetarian options only. I understand that adding my name to the vegetarian list means that I cannot get the meat option until the line has gone through and it's determined if there is enough extra.

Question Title

* 9. I am interested in having a follow up discussion to give more feedback on the meal program

* 3. Please rate the following breakfast menu items.
1 = Discontinue, 5 = Favorite

* 4. Please rate the following lunch menu items.
1 = Discontinue, 5 = Favorite

* 5. Please rate the following side items.
1 = Discontinue, 5 = Favorite