4th Quarter Survey - Unit 649 Global Leadership Academy Charter Student Survey Complete the survey below. OK Question Title * 1. Please choose your grade level: Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade OK Question Title * 2. For Breakfast Out of 5 school days each week, on average how many days do you do each of the following for breakfast? Your total must add to 5. Get breakfast at school. Buy breakfast on the way to school. Bring breakfast from home to eat at school. Eat breakfast at home. Skip breakfast. OK Question Title * 3. From the list below, please select up to 3 top reasons why you don't get breakfast at school more often. Too expensive. School doesn't offer breakfast food I like. Not enough time before class to get breakfast. Cafeteria's location is not convenient. I am not hungry. I'd rather spend the time with my friends; they don't eat breakfast at school. School breakfast isn't healthy or fresh. School breakfast doesn't look good. Other (please specify) OK Question Title * 4. How many days a week do you eat breakfast at school? 0 1-2 3-4 5 OK Question Title * 5. If you never eat breakfast at school, or only eat it 1-2 times a week, why? I bring my breakfast; or I eat breakfast at home. I do not eat breakfast. My bus is always late. I do not like what the cafeteria offers. OK Question Title * 6. What is your favorite fruit? (Check all that apply) Apple Orange Grapes Pear Banana Peach Plum OK Question Title * 7. For Lunch Out of 5 school days each week, on average how many days do you do each of the following for lunch? Your total must add up to 5. Get lunch at school cafeteria. Bring lunch from home to eat at school. Leave school to buy lunch. Skip lunch. OK Question Title * 8. How many days a week do you eat the lunch served at school? 0 1-2 3-4 5 OK Question Title * 9. If you never eat lunch served at school, or only eat it 1-2 times a week, why? I bring my lunch from home. I skip lunch. I do not like what the cafeteria offers. OK Question Title * 10. What would encourage you to participate in lunch more often? Shorter lines Different hot menu choices Different cold menu choices Other (please specify) OK Question Title * 11. What is your favorite lunch item? (Check all that apply) Salads Cold Sandwiches Pizza Pasta Meals (Lasagna, Pasta & Meatballs, Mac & Cheese, Baked Ziti) Hot Sandwiches (Hamburger, Chicken Patty etc.) Empanadas, Quesadilla, Tacos, Burittos Meat/Chicken (Chili, Salisbury Steak, BBQ Chicken) Fish Meals (Baked Cajun Fish, Fish & Chips, Fish Nuggets) Teriyaki Meatballs, Tangerine Chicken, Asian Noodles Other (please specify) OK Question Title * 12. What is your favorite vegetable? (Check all that apply) Carrots Corn Lettuce Broccoli Green Beans Spinach Collard Greens Sweet Potatos Peas Cauliflower Lima Beans Black Beans Chickpeas Lentils Celery Cucumbers OK Question Title * 13. What is your favorite fruit? (Check all that apply) Apple Orange Pear Grapes Banana Peach Plum OK Question Title * 14. Using stars from 1 to 10, where 1 is the worst school cafeteria possible and 10 is the best school cafeteria possible, how many stars would you give your school cafeteria? OK Question Title * 15. Comments? OK DONE