eval report cover.indd - New Jersey Farm to School Network Wiki

Harvest of the Month Student Evaluation (Page 4 of 4)Farm to Conclusions School Sample and Tools Recommendationsand ResourcesI amI disagree I disagreeI agree I agreenotvery much a littlea little very much11. For dinner I think I can…sureA. eat a serving of vegetables O O O O OB. eat my favorite fruit insteadof my usual dessertO O O O ODuring the past 24 hours (yesterday), how many times did you…(please circle the number of times)12. Drink 100% fruit juices, suchas orange, apple or grape? 0 1 2 3 4 5 or more13. Eat fruit? (Do not count fruitjuice.) 0 1 2 3 4 5 or more14. Eat vegetables? (Include saladsand non-fried potatoes.) 0 1 2 3 4 5 or more15. How old are you? _____________Years16. Are you O BoyO Girl17. How do you describe yourself? (You may fill-out more than one)O Latino, HispanicO Black, African AmericanO WhiteO American Indian, Alaskan NativeO Asian, Pacific IslanderO OtherAdapted from “Harvest of the Month Survey,” available athttp://www.cdph.ca.gov/programs/CPNS/Documents/Network-Compendium.pdfCullen K, Baranowski T, et al. Availability, accessibility, and preferences for fruit, 100% fruit juice,and vegetables influence children’s dietary behavior. Health Educ Behav 2003; 30(5): 615-26.Baranowski T, Davis M, Resnicow K, Baranowski J, Doyle C, Smith M, Lin L, Wang DT. Gimme 5 fruit andvegetables for fun and health: Outcome Evaluation. Health Education & Behavior 2000; 27(1):96-111.144 Bearing Fruit: Farm to School Evaluation Resources and Recommendations