Appendix B - SFA Recrutiment Interview

APPENDIX B

SFA RECRUITMENT INTERVIEW

School Nutrition Dietary

Assessment Study IV

(OMB No.: 0584-0527)

Project Officer: Fred S. Lesnett

Office: Office of Research and Analysis

Food and Nutrition Service

Room 1014

3101 Park Center Drive

Alexandria, VA 22302

Telephone: 703-605-0811

FAX: 703-305-2576

Email: [email protected]

OMB Clearance Number: 0584-0527

Expiration Date: xx/xx/xxxx

ID#: | | | | | | | | |

SFA:

City and State:

Date: | | | / | | | /| | | | |

Month Day Year

School Nutrition Dietary

Assessment Study

School Food Authority

Recruitment Interview

RECRUITER NAME:

CONTACT RECORD

Date : | | | / | | | / | | | | | Time: | | | : | | |

STATUS:

DATE COMPLETED: | | | / | | | / | 2 | 0 | | |

RECRUITMENT INTERVIEW

SFA: SCHOOL 1:

SFA DIRECTOR: SCHOOL 2:

PHONE: | | | |-| | | |-| | | | | SCHOOL 3:

EMAIL: SCHOOL 4:

INTRODUCTORY REMARKS

Confirm receipt of introductory letter and brochure.

If material hasn’t been received, check mailing address and make arrangements for re-mailing.

Check on whether respondent was contacted by State Child Nutrition Director.

Answer questions respondent may have about the study or about how/why the SFA and the specific schools within the SFA were sampled for the study.

Provide assurance about confidentiality:

In accordance with the Confidential Information Protection and Statistical Efficiency Act of 2002, your responses will be kept confidential and will not be disclosed to anyone but analysts conducting this study, except as otherwise required by law.

Read burden statement:

Public reporting burden for this collection of information is estimated to average 18 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.

Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to U.S. Department of Agriculture, Food and Nutrition Service, Office of Research and Analysis, Room 1014, Alexandria, VA 22302, ATTN: PRA (0584-0527). Do not return the completed form to this address.

0. The first question I have is whether your district has any schools that began operating during the 2007 - 2008 school year or later? Please include any new schools for 2009 – 2010 (even if they’re not officially opened yet).

IF YES: Can you give me the name(s) and zip code(s) of the new school(s)? (If necessary, you can fax me a list at 609-799-0005.)

Does (SCHOOL) participate in the NSLP? IF YES: What grades are included in the school?

0. a. NEW SCHOOLS	b. ZIP CODE	c. PARTICIPATE IN NSLP?	d. GRADES
	|__|__|__|__|__|	YES	|__|__| to |__|__|
		N O SKIP TO NEXT SCHOOL
	|__|__|__|__|__|	Y ES	|__|__| to |__|__|
		NO SKIP TO NEXT SCHOOL
	|__|__|__|__|__|	YES	|__|__| to |__|__|
		NO SKIP TO NEXT PAGE

Because you have [number] new school(s) in your SFA, there is a slight chance we may need to change the schools that have been selected to participate in the study. I will check into this after we complete this call and get back to you shortly.

We have made a preliminary selection of schools for the study. The first school we plan to contact in your district is (INSERT SCHOOL 1).

NAMES OF SCHOOLS	SCHOOL 1 NAME MPR ID LEVEL	SCHOOL 2 NAME MPR ID LEVEL	SCHOOL 3 NAME MPR ID LEVEL	SCHOOL 4 NAME MPR ID LEVEL
	¨ SCHOOL CLOSED ¨ OTHER SPECIAL CASE (explain):	¨ SCHOOL CLOSED ¨ OTHER SPECIAL CASE (explain):	¨ SCHOOL CLOSED ¨ OTHER SPECIAL CASE (explain):	¨ SCHOOL CLOSED ¨ OTHER SPECIAL CASE (explain):
1. Can you tell me the name of the principal at SCHOOL and give me his/her contact information?	NAME PHONE # EMAIL	NAME PHONE # EMAIL	NAME PHONE # EMAIL	NAME PHONE # EMAIL
2. What grades are included in SCHOOL? check all that apply	P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12	P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12	P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12	P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12
3. Does SCHOOL participate in the National School Lunch Program (NSLP)?	1 ¨ Yes 0 ¨ No skip to next school	1 ¨ Yes 0 ¨ No skip to next school	1 ¨ Yes 0 ¨ No skip to next school	1 ¨ Yes 0 ¨ No go to page 7
3a. What grades at SCHOOL are served by the NSLP? check all that apply	A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12	A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12	A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12	A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12
4. (CODE IF KNOWN) Does SCHOOL participate in the School Breakfast Program (SBP)?	1 ¨ Yes 0 ¨ No GO TO Q5	1 ¨ Yes 0 ¨ No GO TO Q5	1 ¨ Yes 0 ¨ No GO TO Q5	1 ¨ Yes 0 ¨ No GO TO Q5
4a. What grades at SCHOOL are served by the SBP? check all that apply	A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12	A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12	A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12	A ¨ All grades served P ¨ Pre-K 6 ¨ 6 K ¨ K 7 ¨ 7 1 ¨ 1 8 ¨ 8 2 ¨ 2 9 ¨ 9 3 ¨ 3 10 ¨ 10 4 ¨ 4 11 ¨ 11 5 ¨ 5 12 ¨ 12
5. Does SCHOOL operate under Provision 2 for the National School Lunch Program (NSLP) or the School Breakfast Program (SBP)? NOTE: Provision 2 schools serve meals at no charge to all children as determined by application once every three years.	1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above	1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above	1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above	1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above
6. Does SCHOOL operate under Provision 3 for the NSLP or SBP? NOTE: Provision 3 schools serve meals at no charge to all children regardless of eligibility status.	1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above	1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above	1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above	1 ¨ NSLP GO TO Q8 2 ¨ SBP GO TO Q8 0 ¨ None of the above
7. Does SCHOOL offer universal-free breakfast?	1 ¨ Yes 0 ¨ No n.a. ¨ NA (no breakfast program)	1 ¨ Yes 0 ¨ No n.a. ¨ NA (no breakfast program)	1 ¨ Yes 0 ¨ No n.a. ¨ NA (no breakfast program)	1 ¨ Yes 0 ¨ No n.a. ¨ NA (no breakfast program)
8. Does SCHOOL operate any NSLP or SBP year-round meal programs? check all that apply	1 ¨ NSLP 2 ¨ SBP 0 ¨ None of the above	1 ¨ NSLP 2 ¨ SBP 0 ¨ None of the above	1 ¨ NSLP 2 ¨ SBP 0 ¨ None of the above	1 ¨ NSLP 2 ¨ SBP 0 ¨ None of the above
9. Does SCHOOL offer reimbursable afterschool snacks?	1 ¨ Yes 0 ¨ No	1 ¨ Yes 0 ¨ No	1 ¨ Yes 0 ¨ No	1 ¨ Yes 0 ¨ No
NOTE: ELEMENTARY SCHOOLS ONLY 10. Does SCHOOL participate in the Fresh Fruit and Vegetable Program?	1 ¨ Yes 0 ¨ No	1 ¨ Yes 0 ¨ No	1 ¨ Yes 0 ¨ No	1 ¨ Yes 0 ¨ No
11. Which of the following menu planning options is currently used for SCHOOL?	1 ¨ Nutrient-Based (NSMP) 2 ¨ Assisted NSMP 3 ¨ Enhanced Food-Based 4 ¨ Traditional Food-Based 5 ¨ Other (Explain) 0 ¨ DON’T KNOW	1 ¨ Nutrient-Based (NSMP) 2 ¨ Assisted NSMP 3 ¨ Enhanced Food-Based 4 ¨ Traditional Food-Based 5 ¨ Other (Explain) 0 ¨ DON’T KNOW	1 ¨ Nutrient-Based (NSMP) 2 ¨ Assisted NSMP 3 ¨ Enhanced Food-Based 4 ¨ Traditional Food-Based 5 ¨ Other (Explain) 0 ¨ DON’T KNOW	1 ¨ Nutrient-Based (NSMP) 2 ¨ Assisted NSMP 3 ¨ Enhanced Food-Based 4 ¨ Traditional Food-Based 5 ¨ Other (Explain) 0 ¨ DON’T KNOW
12. Are meals for SCHOOL partly or fully prepared in an off-site kitchen?	1 ¨ Yes 0 ¨ No	1 ¨ Yes 0 ¨ No	1 ¨ Yes 0 ¨ No	1 ¨ Yes 0 ¨ No
13. What is the name of the foodservice manager or other person who will complete the menu survey for SCHOOL? What is the best way to reach him/her?	NAME 1 ¨ PHONE # 2 ¨ EMAIL	NAME 1 ¨ PHONE # 2 ¨ EMAIL	NAME 1 ¨ PHONE # 2 ¨ EMAIL	NAME 1 ¨ PHONE # 2 ¨ EMAIL
13a. What is the best time or day to reach him/her?	DAY TIME 1 ¨ AM 2 ¨ PM	DAY TIME 1 ¨ AM 2 ¨ PM	DAY TIME 1 ¨ AM 2 ¨ PM	DAY TIME 1 ¨ AM 2 ¨ PM
13b. Is (he/she) a district employee or does (he/she) work for a Food Service Management Company?	1 ¨ District Employee 2 ¨ Food Service Management Company Employee	1 ¨ District Employee 2 ¨ Food Service Management Company Employee	1 ¨ District Employee 2 ¨ Food Service Management Company Employee	1 ¨ District Employee 2 ¨ Food Service Management Company Employee

TARGET WEEK

We would like to schedule a specific week for schools in your district to complete the menu survey. For logistical reasons, all of the schools should complete the survey the same week. We have the following weeks available:

OPTION 1: | | | / | | | / | | | | | 1  Yes 0  No 3  Maybe

Month Day Year

OPTION 2: | | | / | | | / | | | | | 1  Yes 0  No 3  Maybe

Month Day Year

OPTION 3: | | | / | | | / | | | | | 1  Yes 0  No 3  Maybe

Month Day Year

We will be conducting a joint over-the-phone training session with the person at each school who will be completing the menu survey. Is that something you would like to coordinate centrally or should we work that out with the food service managers and others at the schools?

 SFA director will coordinate centrally ----- OK. We will be in touch closer to the date of the target week.

• MPR will schedule with schools.

Those are all the questions we have at this time. We will confirm this information with you in an email. [MAKE SURE WE HAVE THEIR E-MAIL ADDRESS]. [IF NO NEW SCHOOLS WERE REPORTED] Please let the foodservice managers in the individual schools know that they have been selected for the study and confirm with them the potential target week(s) for the menu survey. Also, please talk to the principal in each school and encourage them to participate in the study. I will send you some additional information about the study that you can pass along to the foodservice managers and principals. We may need to contact you for additional information later as we prepare to get in touch with the schools.

[IF NEW SCHOOLS WERE REPORTED] I will get back to you shortly about whether we need to make any changes in the schools that have been selected to participate in the study.

Thank you for your time. (I look forward to speaking with you again soon.) If you have any questions (before we speak again), please call me directly at: (609) 799-3535.

Prepared by Mathematica Policy Research, Inc.