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School Lunch Survey
City High School Menu Survey
Please fill out this short survey of your breakfast and lunch item preferences. We will do our best to accommodate your preferences.
Thank you.
1
. Grade
Grade
9
10
11
12
2
. Gender
Gender
Male
Female
Prefer not to answer
3
. Please rate the following breakfast menu items.
1 = Discontinue, 5 = Favorite
1
2
3
4
5
N/A
Bagel & Cream Cheese
*
Please rate the following breakfast menu items. 1 = Discontinue, 5 = Favorite 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
4
. Please rate the following lunch menu items.
1 = Discontinue, 5 = Favorite
1
2
3
4
5
N/A
Baked Chicken
*
Please rate the following lunch menu items. 1 = Discontinue, 5 = Favorite 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
5
. Please rate the following side items.
1 = Discontinue, 5 = Favorite
1
2
3
4
5
N/A
Baked Fries
*
Please rate the following side items. 1 = Discontinue, 5 = Favorite 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
6
. Do you get school lunch or breakfast 2 or more times per week?
Do you get school lunch or breakfast 2 or more times per week?
Yes
No
7
. Would you get food at school more often depending on the results of this survey?
Would you get food at school more often depending on the results of this survey?
Yes
No
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.
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
No
If yes, please include your first and last name
9
. I am interested in having a follow up discussion to give more feedback on the meal program
I am interested in having a follow up discussion to give more feedback on the meal program
Yes
No
If interested, please include your first and last name
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