Vegetarian/Vegan Survey

1. Norwin School District - Vegetarian/Vegan Survey

We would like your input on vegetarian/vegan lifestyles and products so that we may better provide our students with vegetarian/vegan choices that will fit into our program.

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1. Are you a: (Required.)

Student

Parent/Guardian

Staff Member

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2. What grade are you or your child presently in? (Required.)

K-4

5-6

7-8

9-12

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3. Do you consider you or your child a: (Required.)

Vegetarian

Vegan

Neither

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4. How long have you or your child been a vegetarian or vegan? (Required.)

Never

Less than 3 months

3 months to a year

1 - 3 years

3 - 5 years

More than 5 years

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5. Do you or your child have any friends that are vegetarian or vegan? (Required.)

Yes

I don't know

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6. Please number from 1 to 5 the factors that lead you or your children to become a vegetarian or vegan.

Please skip to the next question if you or your child is not a vegetarian or vegan.

	Strongest Factor				Least Strong Factor
Animal Rights	Animal Rights Strongest Factor	Animal Rights	Animal Rights	Animal Rights	Animal Rights Least Strong Factor
Better Health	Better Health Strongest Factor	Better Health	Better Health	Better Health	Better Health Least Strong Factor
Environment	Environment Strongest Factor	Environment	Environment	Environment	Environment Least Strong Factor
Food Security	Food Security Strongest Factor	Food Security	Food Security	Food Security	Food Security Least Strong Factor
Other	Other Strongest Factor	Other	Other	Other	Other Least Strong Factor

(please specify)

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7. Please mark all items that you or your child never eats. (Please check all that apply)

Meat

Poultry

Fish/Seafood

Dairy Products

Eggs

Honey

Other (please specify)

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8. What is you or your child's favorite vegetable? (Please check all that apply)

Baked Beans

Broccoli

Brussels Sprouts

Carrots

Cauliflower

Corn

Green Beans

Mashed Potatoes

Mixed Vegetable Blends

Peas

Other (please specify)

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9. What is your or your child's favorite fruit? (Please check all that apply)

Apples

AppleSauce

Bananas

Berries

Forzen Juice Bars

Fruit Cocktail

Mandarin Oranges

Melons

Oranges

Pears

Pineapple

Sliced Peaches

Other (please specify)

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10. What brand of 'Veggie Burger' do you or your child eat?

Gardenburger

Morning Star

Boca

Amy's

Sunshine

None of the above

Other (please specify)

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11. Do you or your child presently purchase any of these meals in the cafeteria? (Please check all that apply)

Grilled Cheese Sandwich

Smuckers UnCrustables

Salad Bar (High School and Middle School only)

Whole Grain Mini Pierogies

Cheese Sticks w/Breadstick Dippers

Macaroni and Cheese

Bosco or "The Max" Cheese filled Breadsticks

Mexican Pretzel Dippers

None of the above

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12. Optional Contact Information

Name:

Email Address:

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* 1. Are you a: (Required.)

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* 2. What grade are you or your child presently in? (Required.)

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* 3. Do you consider you or your child a: (Required.)

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* 4. How long have you or your child been a vegetarian or vegan? (Required.)

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* 5. Do you or your child have any friends that are vegetarian or vegan? (Required.)

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* 6. Please number from 1 to 5 the factors that lead you or your children to become a vegetarian or vegan.Please skip to the next question if you or your child is not a vegetarian or vegan.

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* 7. Please mark all items that you or your child never eats. (Please check all that apply)

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* 8. What is you or your child's favorite vegetable? (Please check all that apply)

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* 9. What is your or your child's favorite fruit? (Please check all that apply)

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* 10. What brand of 'Veggie Burger' do you or your child eat?

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* 11. Do you or your child presently purchase any of these meals in the cafeteria? (Please check all that apply)

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* 12. Optional Contact Information

1. Are you a: (Required.)

2. What grade are you or your child presently in? (Required.)

3. Do you consider you or your child a: (Required.)

4. How long have you or your child been a vegetarian or vegan? (Required.)

5. Do you or your child have any friends that are vegetarian or vegan? (Required.)

6. Please number from 1 to 5 the factors that lead you or your children to become a vegetarian or vegan.

Please skip to the next question if you or your child is not a vegetarian or vegan.

7. Please mark all items that you or your child never eats. (Please check all that apply)

8. What is you or your child's favorite vegetable? (Please check all that apply)

9. What is your or your child's favorite fruit? (Please check all that apply)

10. What brand of 'Veggie Burger' do you or your child eat?

11. Do you or your child presently purchase any of these meals in the cafeteria? (Please check all that apply)

12. Optional Contact Information