Please take a moment to fill out this survey form ASAP regarding your child's previous knowledge of local food and farms, and their current attitude about fruits and vegetables. You will receive another survey at the end of the school year. Your participation is greatly appreciated so we can gauge the value of this project. Thank you!

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* 1. What grade is your child in?

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* 2. Which school does your child attend?

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* 3. Which of the following activities do you think are part of a successful Farm to School program? (choose all that apply)

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* 4. How often does your child purchase school lunch?

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* 5. How satisfied are you with school meal offerings?

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* 6. If your school cafeteria served more fresh, local foods, would you encourage your child to eat...

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* 7. Has your child participated in any food, farm and/or nutrition education activities
at school?

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* 8. How have these education activities changed your child’s eating habits?

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* 9. What types of nutrition/food related activities would you like the school to offer?

  Very important Somewhat important Not important I don't know
School gardening
Composting
Cooking in the classroom
Farm field trips
After school programs
Food/farm/nutrition education in the classroom

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* 10. Are there other food/farm/nutrition related activities you think the school should offer?

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* 11. Does your child ask you to buy fruits and vegetables?

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* 12. Which fruits or vegetables have you bought for your family because of your child's request? (choose all that apply)

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* 13. Are you willing to be involved in any of the following Farm to School activities at your child's school?

  Yes No Maybe
School gardens
Composting
Volunteer in the classroom
Farm field trips
After school programs
Farm to School events

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* 14. If you want to be involved with Farm to School activities, please give your contact information here:

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* 15. Thanks for taking this survey! Any additional comments?

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