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Menu Survey Form
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Menu Survey Form
Center
(Required)
Name
(Required)
First
Last
Child's age (include all ages of children enrolled)
(Required)
How do you feel about the meals your child is served?
(Required)
Very Happy
Happy
Somewhat Happy
Not Happy
Since your child has been participating in meals, do they eat a wider variety of food at home?
(Required)
Yes
No
Somewhat
Has your child been eating more vegetables since enrolled in the Orange County Head Start, inc program?
(Required)
Yes
No
Somewhat
What are your child’s favorite foods?
(Required)
What menu items does your child not like?
(Required)
What new healthy foods would you like to see on the menu (breakfast, lunch or snack)?
(Required)
If your child is vegetarian or has food allergies/intolerances what food would you like to see being served? (answer only if this applies to you)
Are the menus easy to read and understand? If not, please let us know why.
(Required)
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