Healthy Kids Lunchroom Parent Survey

What school district does your child attend?


  1. What grade(s) is/are your child(ren) in? Choose all that apply.
     Pre-k K 1 2 3
     4 5 6 7 8
     9 10 11 12
  2. How often does(do) your student(s) buy lunch?
     Never
     1 Time per week
     2 times per week
     3 times per week
     4 times per week
     Every day

    Tell us why you make this choice:
  3. When you pack a lunch, what items do you typically include?
     Peanut Butter & Jelly Sandwich
     Other Sandwich
     Other Main Items
     Crackers
     Chips
     Vegetables
     Canned Fruit
     Fresh Fruit
     Local Produce
     Fruit Roll Up
     Cookie, Cupcake, other dessert/snack
     Milk
     Juice
  4. What is your child's (children's) favorite restaurant?
  5. Has (Have) your student(s) tried our NY Farm-to-School offerings? (Recently featured: NY Roasted Potatoes, Carrots, Squash)
     Yes
     No
     Unsure
  6. Does Farm to School influence your student's(students') decision to eat lunch?
     Yes
    If yes, why?

     No
    If no, why?
  7. If we served NY cabbage and winter squash, would your student(s) eat it?
     Yes
    If yes, why?

     No
    If no, why?
  8. What is your students(students) favorite lunch menu item?
  9. What is your students(students) least favorite lunch menu item?
  10. What is your student's(students') favorite vegetable?
  11. What vegetables do they dislike?
  12. Does (Do) your student(s) have enough time to eat?
     Yes
     No
  13. How many minutes do you think lunch should be?
     10 minutes
     20 minutes
     25 minutes
     30 minutes
     40 minutes
     Over 40 minutes
  14. How often does(do) your student(s) buy breakfast at school?
     Never
     1 Time per Week
     2 times
     3 times
     Every day

    Tell us why you make this choice:
  15. What is your child's (children's) favorite breakfast menu item?
  16. Have you visited the cafeteria page on your school's website?
     Yes
     No
  17. Have you ever had lunch with your student(s) in the cafeteria?
     Yes
     No
  18. Please list one or two things you think we could do to improve the School Food Service Program. Please be specific.