School Name:
Address:
Phone:
Contact Person:
Questions
1) Does your school serve lunch?	Y	N
2) If no to question 1: do you provide any guidelines for what foods parents should include in lunch?	Y	N	N/A
3) Do you have a set menu?	Y	N	N/A
4) If yes, would you provide a copy of the menu for the week?	Y	N	N/A
5) Does the menu follow any standard guidelines?	Y	N	N/A
6) Do you have a dietician who advises/creates lunch menus?	Y	N	N/A
7) Do you serve American food?	Y	N	N/A
8) Do you serve ethnic food?	Y	N	N/A
9) Would you be interested in receiving a summary of the survey?	Y	N
10) Would you be interested in receiving a proposed nutritionally balanced dietician recommended menu of American and ethnic food?	Y	N