Food Waste Reduction Pre-Evaluation Survey

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* 1. Agency

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* 2. Name

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* 3. Over the last week, how much of the following foods have you (and your family) thrown away (either in a trash bin, compost bin, curbside compost service, garden, fed to pets, down the sink, etc.)

	A lot	Some	A little	None	Don't eat
Fruit, vegetables or salad	Fruit, vegetables or salad A lot	Fruit, vegetables or salad Some	Fruit, vegetables or salad A little	Fruit, vegetables or salad None	Fruit, vegetables or salad Don't eat
Bread, cakes and desserts	Bread, cakes and desserts A lot	Bread, cakes and desserts Some	Bread, cakes and desserts A little	Bread, cakes and desserts None	Bread, cakes and desserts Don't eat
Raw or cooked meat or fish	Raw or cooked meat or fish A lot	Raw or cooked meat or fish Some	Raw or cooked meat or fish A little	Raw or cooked meat or fish None	Raw or cooked meat or fish Don't eat
Cheese and yogurt	Cheese and yogurt A lot	Cheese and yogurt Some	Cheese and yogurt A little	Cheese and yogurt None	Cheese and yogurt Don't eat
Milk and fruit juices	Milk and fruit juices A lot	Milk and fruit juices Some	Milk and fruit juices A little	Milk and fruit juices None	Milk and fruit juices Don't eat
Ready eats, convenience foods or snacks	Ready eats, convenience foods or snacks A lot	Ready eats, convenience foods or snacks Some	Ready eats, convenience foods or snacks A little	Ready eats, convenience foods or snacks None	Ready eats, convenience foods or snacks Don't eat
Cooked leftovers from meals	Cooked leftovers from meals A lot	Cooked leftovers from meals Some	Cooked leftovers from meals A little	Cooked leftovers from meals None	Cooked leftovers from meals Don't eat
Food that is moldy or past its use by date (including unopened foods)	Food that is moldy or past its use by date (including unopened foods) A lot	Food that is moldy or past its use by date (including unopened foods) Some	Food that is moldy or past its use by date (including unopened foods) A little	Food that is moldy or past its use by date (including unopened foods) None	Food that is moldy or past its use by date (including unopened foods) Don't eat

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* 4. Rank your top 3 reasons for throwing away food

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* 5. What is your attitude towards dates labeled on packaged foods? Mark any that apply:

It’s helpful for me to know when the food is no longer safe to eat

I use it as a guide to know how old the food is, but I still check food to see it is safe to eat before throwing it away

I rarely look at the date printed on food and eat it if it looks or smells safe to eat

I think the dates are confusing

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* 6. How confident is your household in the following activities?

	Very confident	Somewhat	Not very confident
How much food to buy and prepare for your family	How much food to buy and prepare for your family Very confident	How much food to buy and prepare for your family Somewhat	How much food to buy and prepare for your family Not very confident
How to store food properly in your kitchen and fridge	How to store food properly in your kitchen and fridge Very confident	How to store food properly in your kitchen and fridge Somewhat	How to store food properly in your kitchen and fridge Not very confident
What to do with extra food or leftovers	What to do with extra food or leftovers Very confident	What to do with extra food or leftovers Somewhat	What to do with extra food or leftovers Not very confident

Food Waste Reduction Pre-Evaluation Survey

Question Title

* 1. Agency

Question Title

* 2. Name

Question Title

* 3. Over the last week, how much of the following foods have you (and your family) thrown away (either in a trash bin, compost bin, curbside compost service, garden, fed to pets, down the sink, etc.)

Question Title

* 4. Rank your top 3 reasons for throwing away food

Question Title

* 5. What is your attitude towards dates labeled on packaged foods? Mark any that apply:

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* 6. How confident is your household in the following activities?

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* 7. Is there anything in particular you want to learn more about reducing food waste?