School Breakfast Survey

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1. What school do you attend?

What school do you attend?   Mari-Linn Sublimity Stayton Intermediate Stayton Middle Stayton Elementary

2. Do you eat breakfast at school?

Do you eat breakfast at school?   Yes No

3. Do you know what types of foods are served for School Breakfast?

Do you know what types of foods are served for School Breakfast?   Yes No

4. If you are unable to eat breakfast at school please select a reason from the choices below. Select as many as apply

If you are unable to eat breakfast at school please select a reason from the choices below. Select as many as apply   Bus arrives late Eat at home Food Choices at school are not appealing Arrive at school too late to eat

5. Is the location of the breakfast program an issue to receiving breakfast?

Is the location of the breakfast program an issue to receiving breakfast?   Yes No

6. Do you have any menu items you would like to see at breakfast menu?

Do you have any menu items you would like to see at breakfast menu?