BIS Breakfast and Lunch Survey

Hello parents. The lunchroom at our school is wanting to improve the service and selection your child/children receive. In order to do so, we would really appreciate parents to take a few minutes to complete the survey below. We will use this information to improve service and to help ensure quality selections are availble for all.

Thank you for your time,

BIS lunchroom staff

Question Title

* 1. What grade(s) is/are your child(ren) in? Check all that apply.

3rd

4th

5th

6th

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* 2. In the past month your child(ren) has/have bought lunch how many times?

1-3

4-6

7-10

>10

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* 3. If your child(ren) never or rarely buys lunch, please rank reasons why.

	Rank 1	Rank 2	Rank 3	Rank 4	Rank 5
lack of choice	lack of choice Rank 1	lack of choice Rank 2	lack of choice Rank 3	lack of choice Rank 4	lack of choice Rank 5
not enough time to buy then eat lunch	not enough time to buy then eat lunch Rank 1	not enough time to buy then eat lunch Rank 2	not enough time to buy then eat lunch Rank 3	not enough time to buy then eat lunch Rank 4	not enough time to buy then eat lunch Rank 5
not sure what the lunch menu is	not sure what the lunch menu is Rank 1	not sure what the lunch menu is Rank 2	not sure what the lunch menu is Rank 3	not sure what the lunch menu is Rank 4	not sure what the lunch menu is Rank 5
lunch provided not healthy	lunch provided not healthy Rank 1	lunch provided not healthy Rank 2	lunch provided not healthy Rank 3	lunch provided not healthy Rank 4	lunch provided not healthy Rank 5
poor food quality offered	poor food quality offered Rank 1	poor food quality offered Rank 2	poor food quality offered Rank 3	poor food quality offered Rank 4	poor food quality offered Rank 5

Other (please specify)

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* 4. What is the main reason in deciding to buy lunch? Check all that apply.

Menu item for the day

Not enough time to pack in the morning

Other (please specify)

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* 5. If menu item is the main reason to buy, please list top 3 menu items.

1st

2nd

3rd

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* 6. Does your child(ren) buy breakfast at the school?

Yes

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* 7. If you answered "No" to question #6, please say why.

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* 8. Does your child(ren) qualify for free/reduced lunch?

Yes