2009-2010 Food for Kids Program Survey-School System Coordinators 1

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1. To the best of your ability, please enter the number of students served in:

To the best of your ability, please enter the number of students served in:   K-5 Elementary
6-8 Middle
9-12 High

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2. What was your approach in identifying the child to participate in the Food for Kids Program? (Check all that apply)

What was your approach in identifying the child to participate in the Food for Kids Program? (Check all that apply)   Talked with the child confidentially Talked with the parent confidentially Teacher or guidance counselor referral child showed signs of malnutrition

Other (please specify)

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3. Please rate the following statement: "When I need assistance from Second Harvest Food Bank, I receive assistance in a timely, courteous, and thorough manner."

Please rate the following statement: "When I need assistance from Second Harvest Food Bank, I receive assistance in a timely, courteous, and thorough manner."   Strongly Agree Agree Somewhat Agree Somewhat Disagree Disagree Strongly Disagree

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4. Please rate the following statement: "I noticed a positive overall impact on the participants."

Please rate the following statement: "I noticed a positive overall impact on the participants."   Strongly Agree Agree Somewhat Agree Somewhat Disagree Disagree Strongly Disagree Unknown

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5. Please rate the following statement: "I noticed that the program participates worried less about where their next meal was coming from."

Please rate the following statement: "I noticed that the program participates worried less about where their next meal was coming from."   Strongly Agree Agree Somewhat Agree Somewhat Disagree Disagree Strongly Disagree Unknown

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6. Please rate the following statement: "I am very pleased with the food items the children have been receiving."

Please rate the following statement: "I am very pleased with the food items the children have been receiving."   Strongly Agree Agree Somewhat Agree Somewhat Disagree Disagree Strongly Disagree

Please comment on variety, type, size, and any additional suggestions for items you may have.

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7. Please comment about the program. Do you have any suggestions on how we could improve this program? Do you forsee the program to be more benefical if we were to serve about half the children currently participating in the program but provide bags to those children every weekend?

Please comment about the program. Do you have any suggestions on how we could improve this program? Do you forsee the program to be more benefical if we were to serve about half the children currently participating in the program but provide bags to those children every weekend?

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8. Please comment on the distribution process to the school and to the child. Do you have sufficient help? Do you see any room for improvement? If the number of distributions increased do you forsee an issue in the distribution process?

Please comment on the distribution process to the school and to the child. Do you have sufficient help? Do you see any room for improvement? If the number of distributions increased do you forsee an issue in the distribution process?

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9. Did you participate in the Food for Kids Backpack Program meeting on August 28th?

Did you participate in the Food for Kids Backpack Program meeting on August 28th?   Yes No

Did you feel it was beneficial? When would you like to see the meetings held (May-August)?

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10. How satisfied were you with the Food for Kids manual (including the referral form, parent permission form, etc.)?

How satisfied were you with the Food for Kids manual (including the referral form, parent permission form, etc.)?   Very Satisfied Satisfied Somewhat Satisfied Somewhat Dissatisfied Dissatisfied Very Dissatisfied

Do you have any suggestions for better recognizing children at-risk for inadequate nutrition due to food insecurity?