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

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K-12 Food Service Check-in Form (Page 1 of 1)Date: _______ <strong>School</strong> Name: _____________________ in ____________________ district1. What local fruits and vegetables did you use in your food service this past month? (listitems mentioned)For each food, did you get these items through a supplier or did you purchase them directlyfrom a farmer? (Circle one or both if applicable)Supplier <strong>Farm</strong>er2. What other locally produced food products (such as dairy products, meats, poultry, eggs,maple syrup, honey) did you use in your food service this past month?For each food, did you get these items through a supplier or did you purchasedirectly from a farmer? (Circle one or both if applies)Supplier <strong>Farm</strong>erthem3. Did you ask/talk with your supplier about availability of local (state or regional) foods?4. Did you seek out any other sources of local foods?5. Have you talked directly with any farmer about what they grow and could provide?6. Did you encounter any difficulty in procuring local foods? Describe.7. How would you describe the quality of the local foods that you served? Name the foods._______________________________Excellent Good Fair OK Poor8. Did you do any sort of marketing <strong>to</strong> make student and the school community aware thatlocally produced foods were being served?Yes______ No_______Describe: _________________________________________________________<strong>Farm</strong> Conclusions <strong>to</strong> <strong>School</strong> and Sample RecommendationsTools and Resources9. How would you describe the reactions of the students <strong>to</strong> the local foods that you served?Ecstatic Enthusiastic Neutral Mildly Negative Other: ____________10. How did the price of the local items compare with similar items you would havereceived through national/regional distribution?Adapted from “Periodic Check-in with K-12 <strong>School</strong>s,” Making the Cafeteria Connection Toolbox, <strong>Farm</strong> <strong>to</strong><strong>School</strong> in the Northeast: Making the Connection for Healthy Kids and Healthy <strong>Farm</strong>s. By Jennifer L. Wilkins,Heidi Mouillesseaux-Kunzman, Martha Goodsell, Betsey Bacelli, Meredith Graham Cornell <strong>Farm</strong> <strong>to</strong> <strong>School</strong>Program, NY <strong>Farm</strong>s!, and the <strong>New</strong> York <strong>School</strong> Nutrition Association. May 2007. The <strong>to</strong>olbox was developedas part of a project funded by the Northeast Sustainable Agriculture Research and Education Program.www.farm<strong>to</strong>school.org 179

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