School Feeding Impact Survey Form
Help us understand how school meal programs are affecting students and households. Your feedback will guide improvements and support better outcomes.
School Name
*
Grade Level
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
How often does the student participate in the school meal program?
*
Every school day
Most school days
Sometimes
Rarely
Never
How would you rate the quality of the school meals provided?
*
1
2
3
4
5
Since participating in the school meal program, have you noticed any changes in the student's attendance?
*
Attendance has improved
No change
Attendance has worsened
Not sure
Since participating in the school meal program, have you noticed any changes in the student's academic performance?
*
Performance has improved
No change
Performance has worsened
Not sure
Since participating in the school meal program, have you noticed any changes in the student's overall health?
*
Health has improved
No change
Health has worsened
Not sure
Please indicate your level of agreement with the following statements about the school meal program:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The meals are nutritious
1
2
3
4
5
The meals are enjoyable
6
7
8
9
10
The meal program helps my household
11
12
13
14
15
The meal program encourages school attendance
16
17
18
19
20
Has the school meal program made it easier for your household to provide enough food for everyone?
*
Much easier
Somewhat easier
No difference
More difficult
Not sure
Please share any additional comments or suggestions about the school meal program.
Submit Survey
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