Third Grade Food Preference Survey Form
Help us learn about your favorite and least favorite foods! Please answer the questions below about what you like to eat.
What is your first name?
*
First Name
Last Name
What is your favorite fruit?
*
Please Select
Apple
Banana
Orange
Grapes
Strawberry
Other
What is your favorite vegetable?
*
Please Select
Carrot
Broccoli
Corn
Peas
Cucumber
Other
Which meal do you like best?
*
Breakfast
Lunch
Dinner
Snack
What is your favorite school lunch?
*
Are there any foods you do not like?
Do you have any food allergies?
*
Yes
No
If yes, please list your food allergies:
How many times a week do you eat vegetables?
*
Please Select
Every day
3-4 times
1-2 times
Rarely
Which of these snacks do you like? (Choose all that you like)
*
Chips
Fruit
Cookies
Yogurt
Cheese
Other
Submit Survey
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