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

Student Survey (Page 1 of 5)Farm to Conclusions School Sample and Tools Recommendationsand ResourcesDear Student,Tha nk you for taking the time to fill out this survey. Your responses will be used tomake the school meals even better!1. Wha t school do you go to?______________ ____________________Questions About Breakfast2. Do you eat breakfast at home? ___Yes ___No (If no, go to question 4)3. How often do you eat breakfast at home?__ Always __Almost always __Sometimes __Never4. Do you eat breakfast at school? ___Yes ___No (If no, go to question 11)5. How often do you eat breakfast at school?__ Always __Almost always __Sometimes __Never6. Do you eat breakfast at school more this year than last year?__Yes__No7. If you eat breakfast at school more this year, for what reasons? Please check all theanswers that apply to you.___Breakfast is served in the classroom___I like what is served for breakfast___I don’t eat breakfast at home___Hungry more often___Other (please explain)__________________________________I don’t eat breakfast at school more this year8. If you eat breakfast at school less this year, for what reasons? Please check all theanswers that apply to you.___I eat at home___I am not hungry___I don’t like what is served for breakfast while at school___I don’t want to eat breakfast in the morning___Other (please explain)__________________________________I don’t eat breakfast at school less this year9. What is your favorite breakfast food served in the school cafeteria?146 Bearing Fruit: Farm to School Evaluation Resources and Recommendations