MyPlate Post Survey #_____

Name_____________________________

“MyPlate” is Your Plate Questionnaire

Please check one answer for each of the questions provided unless otherwise stated.

Strongly Agree

Neither Agree
Nor disagree

Disagree
Disagree

Strongly
Agree
After watching the PSA:
I am more knowledgeable of the food assistance resources on     
campus.
I am more knowledgeable on the amount of servings I should be     
consuming daily.
I believe that CSUSB should educate students on the available food     
assistance on campus.
I am confident that MyPlate guidelines will help me in creating well-     
balanced meals.
I am confident in identifying foods in their proper food groups     
according to MyPlate guidelines.
After learning about on-campus resources, I find it easier to eat a     
well-balanced meal.
I believe college students would benefit receiving a MyPlate     
guidelines training.
I am willing to reach out for food resources on campus when I need     
assistance.
I believe this PSA should be presented during SOAR (Freshmen     
Orientation).
I will consider MyPlate guidelines while preparing my meals.     

I can follow MyPlate guidelines considering my budget.     

After learning about the campus food den, I am more likely to access     
this free resource.
After learning about nutrition services at the Student Health Center,     
I am more likely to access this free resource.
I am more likely to enroll in food assistance programs to help me     
follow MyPlate guidelines.
MyPlate Post Survey

After watching the PSA, on average, how  None  3-4 days

many days per week are you more likely to  1-2 days  5-7 days
cook at home?
After watching the PSA, on average, how  None  3-4 times
many well-balanced meals do you plan to eat  1-2 times  5+ times
per day?

After watching the PSA, I am familiar with this graphic.

 Strongly agree
 Agree
 Neither agree nor disagree
 Disagree
 Strongly disagree

What are some of the on-campus food/nutrition resources presented in the PSA? (Please list
them below).
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
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FEEDBACK SECTION

List 2 things you learned about MyPlate Guidelines:

1.___________________________________________________________________________
2.___________________________________________________________________________

Do you have any recommendations for the PSA?

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

Thank you for completing our survey. Your time is appreciated! 