1.What is your name?

2.In which school district do you live?

3.Describe your facility

 Small greenhouse (less than 100 square feet)

 Large greenhouse (more than 100 square feet)

 Beekeeper

 Bakery

 Small outdoor garden (less than an acre)

 Medium outdoor garden (1-3 acres)

 Farm (more than 3 acres devoted to crops)

 Poultry grower (growing chickens that you process and sell to the public obeying USDA rules)

 Dairy

 Pork producer (growing pork that you process and sell to the public obeying USDA rules)

 Beef producer (growing beef that you process and sell to the public obeying USDA rules)

 Commercial fisherman (processing and selling to the public obeying USDA rules)

4.Would you be willing to deliver your product to the school cafeteria prepared according to their specifications?

5.What vegetables do you grow that you’d like to sell to local school cafeterias?

 Arugula

 Asparagus

 Baby carrots

 Broccoli

 Cabbage

 Corn

 Cucumbers

 Onions

 Potatoes

 Romaine lettuce

 Squash

 Tomatoes

 Turnips

 Zucchini

 Other _____________

6.What fruit do you grow that you’d like to sell to local school cafeterias?

 Apples

 Cantaloupe

 Watermelon

 Honeydew melon

 Peaches

 Pears

 Plums

 Apricots

 Blueberries

 Blackberries

 Huckleberries

 Gooseberries

 Strawberries

 Other _____________

7.What protein do you process following USDA rules that you’d like to sell to local school cafeterias?

 Chickens

 Pork

 Beef

 Fish

 Other _____________

8.What baked goods do you process following health department rules that you’d like to sell to local school cafeterias?

 Describe _____________

9.Would you be interested in helping with educational activities as a volunteer?

Helping with edible school gardening or orchard activities as part of a school curriculum

Helping with edible school gardening or orchard activities as part of an after school program

Hosting student field trips to your facility?

Visiting the cafeteria, classroom or other school-related setting as a guest speaker?

10.How far would you be willing to deliver your products?

 Same city/county

 Within a 20-mile radius

 Within a 50-mile radius

 Other _____________