Breakfast Program Survey Question Title * 1. Which school does your oldest child attend? Arlington Elementary School Donelson Elementary School Arlington Middle School Arlington High School Question Title * 2. What is the grade level of your oldest child? K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Question Title * 3. Which of these sources have you used to view the school breakfast menu? I have never viewed the school breakfast menu School PTA website School website District website Other (please specify) Question Title * 4. In the past 7 days, choose the setting that your child has eaten breakfast in most often? N/A - My child does not eat breakfast. Home School On way to school Daycare Fast food Items brought from home to eat at school Question Title * 5. Who is responsible for your child eating breakfast? Parent/guardian Babysitter Daycare provider Your child Child's school Other (please specify) Question Title * 6. Why does your child eat breakfast at school? N/A - My child does not eat breakfast at school. Child likes school breakfast Child's friends eat at school My child receives free or reduced cost breakfast School breakfast is a healthy meal School breakfast is better for my child than what I could make at home Lack of time available in the morning for child to eat at home Other (please specify) Question Title * 7. Why doesn't your child eat breakfast at school? N/A - My child does eat breakfast at school. Child prefers to eat at home Does not like food at school Parent responsibility Too expensive Scheduling issues Other (please specify) Question Title * 8. Are you aware that the breakfast program is for all students? Yes, I am aware. No, I did not know that. Question Title * 9. Which option do you think is healthier? Not eating breakfast Eating breakfast at school Eating breakfast at home Home/school equally healthy Question Title * 10. What is your overall satisfaction with your school's breakfast program? Excellent Good Satsifactory Poor Never used Question Title * 11. List possible benefits to eating school breakfast. Convenience No benefits for our family School breakfast would make mornings less stressful Other (please specify) Question Title * 12. What changes would attract your student to choose to eat at school and what food items would you like to see added to the breakfast menu? Done
