You are on page 1of 1

MDUSD

Menu Survey

Name of Your School Circle Your Grade

3rd 4th 5th 6th

What Meals do You Eat at School? Circle all that Apply

None/ I bring food


Breakfast Lunch Supper
from home

Instructions

Please rate Breakfast, Lunch, and Supper from 1 to 4. Circle One.

Breakfast

1. I don’t like 2. I like one or two 3. I like 4 or five


4. I like everything
anything things things

Lunch

1. I don’t like 2. I like one or two 3. I like 4 or five


4. I like everything
anything things things

Supper

1. I don’t like 2. I like one or two 3. I like 4 or five


4. I like everything
anything things things

What is your favorite breakfast item?


What is your favorite lunch item?
What is your favorite supper item?
What would you like to see on the menu?
Do you know what harvest of the month is?

You might also like