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RMSA Student Breakfast Survey
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Name
:
Do you usually eat breakfast before coming to school?
Yes
No
If you usually eat breakfast, what time do you usually eat?
If you usually eat breakfast, what foods do you eat for breakfast?
If you usually eat breakfast, do you fix your own breakfast?
Yes
No
If you usually eat breakfast, where do you eat breakfast?
at home
at the bus stop
on the bus
at school
other
What time do you get to school?
What time does your first class begin?
Do you come to school by bus?
Yes
No
Do you buy food on the way to school?
Yes
No
If you buy food on the way to school, what kinds of food do you buy?
Do you usually eat lunch?
Yes
No
Do you usually eat dinner?
Yes
No
If you don't eat breakfast, what is the main reason?
Not hungry at that time in the morning
Would rather sleep later than eat in the morning
No food I like to eat at home in the morning
Not permitted by parent(s) to cook at home
No one at home to eat breakfast with
What do you like about your school's breakfast program?
What do you dislike about your school's breakfast program?
Complete this statement: I would eat breakfast at school daily if:
Mrs. S.
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