Schools Principals, Teachers, State Directors, SFA, SFSM

Appendix D: Survey of School Food Authorities

Fresh Fruit and Vegetable Program Evaluation

SFA Director Survey

Respondent contact information

School district: __________________________________________________________________________

Contact name: __________________________________________________________________________

Telephone number: __________________________________________________________________________

Your participation in this study is voluntary. There are no penalties if you do not participate. You can refuse to answer any question and may even stop the survey at any time. Your answers will be kept confidential to the fullest extent permitted by law and your name will not be identified with any answers you give. Your responses to this survey will be grouped with others like yours across the 704 schools and associated SFAs participating in this study in the study report. The data files that result from this study will not contain any personal identifiers or any characteristics that would make it possible for specific SFAs or schools to be identified.

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB number. The valid OMB control number for this information collection is 0584-xxxx. The time required to complete this information collection is estimated to average 30 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.

Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Food and Nutrition Service, Office of Research and Analysis, 3101 Park Center Drive, Alexandria, VA 22302.

SFA SURVEY FOR FFVP EVALUATION

Instructions for SFAs with FFVP schools:

This survey is part of an evaluation of the USDA Fresh Fruit and Vegetable Program (FFVP) being conducted by Abt Associates for the USDA Food & Nutrition Service. We are interested in learning more about your School Food Authority’s participation in the FFVP, and about other related School Food Authority operations in your district.

This survey consists of two parts: a set of district-level questions about the FFVP to be answered by you and your staff for selected schools in your district, and a set of school-specific questions to be answered separately for the individual school(s) participating in the study. We anticipate that you may need to consult with staff members from the listed school(s) to help you answer the school-specific questions as accurately as possible.

Also, please note that for comparison purposes some questions ask about school and district activities during the 2007-2008 school year, before the FFVP in its current form began. Please feel free to consult any records or administrative data you have available to help you answer these questions.

Instructions for SFAs without FFVP schools:

This survey is part of an evaluation of the USDA Fresh Fruit and Vegetable Program (FFVP) being conducted by Abt Associates for the USDA Food & Nutrition Service. We are interested in learning more about how School Food Authority operations in your district compare with operations in districts that participate in the FFVP.

This survey includes a number of school-specific questions to be answered separately for the individual school(s) participating in the study. We anticipate that you may need to consult with staff members from the listed school(s) to help you answer the school-specific questions as accurately as possible.

Also, please note that for comparison purposes some questions ask about school and district activities during the 2007-2008 school year, before the FFVP in its current form began. Please feel free to consult any records or administrative data you have available to help you answer these questions.

DISTRICT-LEVEL QUESTIONS

M. Meal counts

M1. How many total meals per month were served to students in each listed school under the School Breakfast Program and National School Lunch Program? Please fill in meal counts for the most recent complete month and the two prior months, and the same three-month period during the 2007-2008 school year for comparison purposes.

Note: We understand that meal counts depend on a wide variety of factors, so we are also collecting data from other sources about school enrollment and related items in order to help us better understand any changes in meal counts over time that you may report.

School Breakfast Program meals served:

	2007-2008			2009-2010 (current school year)
School	Month 1	Month 2	Month 3	Month 1	Month 2	Month 3
School 1
School 2
…
School N

National School Lunch Program meals served:

	2007-2008			2009-2010 (current school year)
School	Month 1	Month 2	Month 3	Month 1	Month 2	Month 3
School 1
School 2
…
School N

M2. Is there anything else you would like to tell us about changes in meal counts for schools in your district since 2007-2008?

F. About the FFVP [FOR SFAS WITH FFVP SCHOOLS; SKIP FOR SFAS WITH ONLY NON-FFVP SCHOOLS]

The Fresh Fruit and Vegetable Program (FFVP) provides free fresh fruits and vegetables to students in participating schools in your district, outside of normal school-provided meals. This part of the survey asks you to provide information and opinions about the general administration and implementation of the FFVP in your district.

F1. In what school year did your district first participate in the FFVP?

􀂃 Before SY2008-2009

􀂃 2008-2009

􀂃 2009-2010

F2. Does your district maintain relationships with any outside partners as part of the FFVP in the current school year? Please include only district-wide partnerships for all FFVP schools, not relationships maintained by individual schools in your district.

Also, please do not include suppliers from whom you purchase fresh fruits or vegetables or other supplies for the FFVP, unless they also separately donate items to the program for free.

F2a. Please check all partnerships that apply for your district, or “none” if your district does not maintain any partnerships.

􀂃 Produce for Better Health

􀂃 Healthcare providers, including hospitals and clinics; doctors, nurses, nutritionists, dietitians/dietetic interns, or other clinicians

􀂃 State, or Tribal government agency (e.g. health departments, agriculture departments, etc.)

􀂃 City, County or other local government agency (e.g. health departments, agriculture departments, etc.)

􀂃 Cooperative Extension Service

􀂃 Supermarkets, grocery stores, or other retail stores

􀂃 Farmers’ markets

􀂃 Food wholesalers or other food distributors

􀂃 Vocational clubs

􀂃 Produce associations/commodity groups

􀂃 Nutrition trade associations (e.g. American Dietetic Association, School Nutrition Associations)

􀂃 Health associations (e.g. State or National affiliates of the American Cancer, Diabetes, or Heart Associations)

􀂃 Universities, colleges, or other higher education institutions

􀂃 Community action agency, food bank, or other community/faith-based organization

􀂃 Other partner type (specify):___________________________________________________

􀂃 Other partner type (specify):___________________________________________________

􀂃 Other partner type (specify):___________________________________________________

􀂃 None

F2b. For each type of partner you checked above, please indicate the role that partner played in implementing the FFVP in your district. If there is more than one partner of a specified type (such as two different clinics), check roles that applied for any partner.

	Partner 1	Partner 2	…	Partner N
Providing free nutrition education or promotion materials (print, video, audio, etc.)				
Providing free instruction or demonstrations for students				
Providing fresh fruits and vegetables for free				
Providing other food (e.g., dips, condiments) for free				
Providing free supplies				
Free advising on nutrition education				
Free training for teachers/staff				
Other role (Please specify: _________________)				
Other role (Please specify: _________________)				
Other role (Please specify: _________________)				

F3a. In a typical week, which of the following statements best describes the relationship of the fresh fruits or vegetables offered to students in schools in your district through the FFVP and the fruits or vegetables offered in those schools through the USDA National School Lunch Program? (Please check one statement only.)

􀂃 The specific fruits or vegetables offered by the FFVP each week are also intentionally served in National School Lunch Program meals in the same week.

􀂃 The specific fruits or vegetables offered by the FFVP each week are intentionally avoided in National School Lunch Program meals in the same week.

􀂃 No attempt is made to coordinate the specific fruits or vegetables offered by the FFVP each week and those offered through the National School Lunch Program.

F3b. In a typical week, which of the following statements best describes the relationship of the fresh fruits or vegetables offered to students in schools in your district through the FFVP and the fruits or vegetables offered in those schools through the USDA School Breakfast Program? (Please check one statement only.)

􀂃 The specific fruits or vegetables offered by the FFVP each week are also intentionally served in School Breakfast Program meals in the same week.

􀂃 The specific fruits or vegetables offered by the FFVP each week are intentionally avoided in School Breakfast Program meals in the same week.

􀂃 No attempt is made to coordinate the specific fruits or vegetables offered by the FFVP each week and those offered through the School Breakfast Program.

F4. Please indicate whether you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with the following statements about the FFVP application and selection process.

	Strongly agree	Agree	Neither agree nor disagree	Disagree	Strongly Disagree
a. The application process for the FFVP was easy to complete					
a1. If you disagree or strongly disagree, why?
b. The State Agency provided clear and sufficient information about the application process					
b1. If you disagree or strongly disagree, why?
c. Our SFA had sufficient time to prepare applications for interested schools					
c1. If you disagree or strongly disagree, why?
d. The State Agency approved the specific schools where our SFA wanted to offer the FFVP					
d1. If you disagree or strongly disagree, why?
e. The school selection process for the FFVP was fair.					
e1. If you disagree or strongly disagree, why?

O. Opinions about the FFVP [FOR SFAS WITH FFVP SCHOOLS; SKIP FOR SFAS WITH ONLY NON-FFVP SCHOOLS]

This section asks your opinion about different aspects of your district’s Fresh Fruit and Vegetable Program. For each statement, decide if you agree or disagree and then whether you strongly or somewhat agree or disagree. There are no right or wrong answers.

		Agree Strongly	Agree Somewhat	Disagree Somewhat	Disagree Strongly	Don’t Know
	I wish more students took the FFVP fruit.	1	2	3	4	5
	I wish more students took the FFVP vegetables.	1	2	3	4	5
	If not offered daily, the FFVP should be offered more days during the week.	1	2	3	4	5
	The FFVP should be offered more times a day.	1	2	3	4	5
	I think the FFVP is NOT worth the effort it takes.	1	2	3	4	5
	We sometimes run out of FFVP produce and can’t serve all of the children.	1	2	3	4	5
	I wish the FFVP fruits were better quality.	1	2	3	4	5
	I wish the FFVP vegetables were better quality.	1	2	3	4	5
	I think the variety of FFVP fruits is good.	1	2	3	4	5
	I think the variety of FFVP vegetables is good.	1	2	3	4	5
	I think students benefit from the FFVP.	1	2	3	4	5
	I would like FFVP to continue in my district.	1	2	3	4	5
	My overall opinion of FFVP is favorable.	1	2	3	4	5
	If I could change one thing about the FFVP it would be:	(write in):­­­­­­­­­­­­­­­­­__________________________________________

O15. Which of the following factors is a challenge or barrier to implementing the FFVP in your district?

	Major Barrier	Minor Barrier	Not a Barrier
Student acceptance of FFVP produce	1	2	3
Inadequate staff training	1	2	3
Inadequate staff time	1	2	3
Perishability of FFVP produce	1	2	3
Inadequate quality of FFVP produce	1	2	3
Inadequate variety of FFVP produce	1	2	3
Inadequate amounts of FFVP produce	1	2	3
High prices for FFVP produce	1	2	3
Effort or cost of preparing FFVP produce	1	2	3
Lack of storage space/facilities	1	2	3
Rules for purchasing produce for FFVP	1	2	3
Restrictions on administrative cost	1	2	3
Amount of paperwork/documentation	1	2	3
Other program requirements/regulations	1	2	3
Other (write in)_____________________	1	2	3

O16. Are there any other thoughts or opinions about the FFVP you would like to share with us?

X. FFVP Claims [For SFAs with FFVP schools; skip for SFAs with only non-FFVP schools]

X1. For which of the following FFVP functions does your school district claim staff expenses as a cost? (Check all that apply.)

􀂃 Preparing fresh fruits and vegetables

􀂃 Serving fresh fruits and vegetables

􀂃 Cleaning up areas where fresh fruits and vegetables are served

􀂃 Training food service staff to operate the FFVP

􀂃 FFVP administration (purchasing, filing claims and reports, etc.)

􀂃 District pays contractor (such as food service management company or other vendor) a combined price for food and labor for FFVP

􀂃 None of the above – District does not claim any staff or contractor expenses as a cost of the FFVP

X2. CLAIM REQUEST.

CLAIM REQUEST. [THIS WILL BE ASKED IF STATE DOES NOT HAVE FOOD ITEM DETAIL FOR FFVP CLAIMS. MATERIALS FOR RETURNING COPIES TO BE SENT WITH LETTER INVITING SFA TO COMPLETE SURVEY]

Please send copies of the FFVP reimbursement claims for [REFERENCE MONTH AND TWO PRIOR MONTHS] for the following schools: [LIST FFVP SAMPLE SCHOOLS]. Please include lists of specific foods purchased for the FFVP during these months.

SCHOOL-SPECIFIC QUESTIONS

T. About this School

For comparison purposes, many questions in this section ask about the 2007-2008 school year, before the FFVP was implemented in its current form in any schools. Please feel free to consult your records or administrative data, and/or to consult with staff from this school, to help you answer these questions as accurately as possible.

T1. [ASK FOR NON-FFVP SCHOOLS ONLY:] According to our records, [SCHOOL NAME] does not currently participate in the FFVP during this current 2009-2010 school year. Has [SCHOOL NAME] ever participated in the FFVP in previous years?

􀂃 Yes, in 2008-2009 only

􀂃 Yes, first participated before 2008-2009

􀂃 No, never participated in FFVP

T2. We are interested in hearing about changes in the types of fruits and vegetables taken in school breakfasts and lunches by students over the past several years at [SCHOOL NAME].

T2a. Compared to the 2007-2008 school year, would you say you students now take more, less, or about the same amount of the following types of fruits and vegetables as part of the School Breakfast Program at [SCHOOL NAME]? (Check one response for each food.)

	More of this type of food since 2007-2008	About the same amount of this type of food	Less of this type of food since 2007-2008
Vegetables:
Fresh			
Frozen			
Canned			
Fruits:
Fresh			
Frozen			
Dried			
Canned			

T2b. Compared to the 2007-2008 school year, would you say students now take more, less, or about the same amount of the following types of fruits and vegetables as part of the National School Lunch Program at [SCHOOL NAME]? (Check one response for each food.)

	More of this food since 2007-2008	About the same amount of this type of food	Less of this type of food since 2007-2008
Vegetables:
Fresh			
Frozen			
Canned			
Fruits:
Fresh			
Frozen			
Dried			
Canned			

T2c. Have you changed the overall variety of different types of fruits and vegetables offered to students in school breakfasts or lunches at [SCHOOL NAME]? In particular….

T2c_i. Have you changed the overall variety of different types of fruits and vegetables offered to students through the School Breakfast Program since the 2007-2008 school year?

 Yes, offer greater variety of different types of fruits and vegetables since 2007-2008

 Yes, offer less variety of different types of fruits and vegetables since 2007-2008

 No, no change in variety of different types of fruits and vegetables since 2007-2008

T2c_ii. Have you changed the overall variety of different types of fruits and vegetables offered to students through the National School Lunch Program since the 2007-2008 school year?

 Yes, offer greater variety of fruits and vegetables since 2007-2008

 Yes, offer less variety of fruits and vegetables since 2007-2008

 No, no change in variety of fruits and vegetables since 2007-2008

T2d. Is there any other information you would like to share with us about changes in fruits and vegetables offered or taken as part of school breakfasts or lunches?

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

T3. Compared to the 2007-2008 school year, would you say that sales at [SCHOOL NAME] from each of the following SFA-operated venues have increased, decreased, or stayed about the same? (Please check only one box in each row. Do not include sales from sources not operated by the SFA.)

	No sales from this venue in 2007-2008 or now	More sales from this venue since 2007-2008	About the same sales from this venue since 2007-2008	Less sales from this venue since 2007-2008	Venue eliminated after 2007-2008
Vending machines					
A la carte foods					
Snack bar					
Other SFA-operated venues					
Total food sales outside USDA meals programs					

[IF NO SALES IN 2007-2008 OR NOW FROM ANY SOURCES LISTED IN T3, SKIP TO T4.]

T3a. Compared to the 2007-2008 school year, would you say students now take more, less, or about the same amount of the following types of foods in SFA-operated venues outside of USDA school meals programs at [SCHOOL NAME]? Please include sales from vending machines, a la carte foods, snack bars, and other SFA-operated venues. (Check one response for each food.)

Food category	This food not offered in 2007-2008 or now	More of this food since 2007-2008	About the same amount of this type of food	Less of this type of food since 2007-2008	Stopped offering this food after 2007-2008
100% fruit juice or 100% vegetable juice					
Soda pop or fruit drinks that are not 100% juice					
Sports drinks, such as Gatorade®					
Bottled water					
Whole or 2% fat milk					
1% or skim milk					
Fruit					
Bread sticks, rolls, bagels, pita bread, or other bread products					
Low-fat cookies, crackers, cakes, pastries, or other low-fat baked goods					
Cookies, crackers, cakes, pastries, or other baked goods that are not low in fat					
Low-fat or nonfat yogurt					
Lettuce, vegetable, or bean salads					
Vegetables with low-fat dip					
Deep fried French fried potatoes					
Oven baked French fried potatoes					
Other vegetables					
Chocolate candy					
Other kinds of candy					
Salty snacks that are low in fat, such as pretzels, baked chips, or other low-fat chips					
Salty snacks that are not low in fat, such as regular potato chips or cheese puffs					
Low-fat or fat-free ice cream, frozen yogurt, or sherbet					
Ice cream or frozen yogurt that is not low in fat					

T4. Please check the USDA nutrition promotion programs in which [SCHOOL NAME] has participated during the 2009-2010 school year. (Check all that apply.)

 Team Nutrition

 Healthier US Schools Challenge

 SNAP Nutrition Education

 Eat Smart, Play Hard

 Other USDA nutrition promotion program 1 (Please specify: ______________)

 Other USDA nutrition promotion program 2 (Please specify: ______________)

 Other USDA nutrition promotion program 3 (Please specify: ______________)

T5. Does [SCHOOL NAME] offer free snacks to students, [INCLUDE FOLLOWING ONLY FOR FFVP SCHOOLS: other than fresh fruit and vegetable snacks funded by the USDA Fresh Fruit and Vegetable Program]?

 Yes

 No

[SKIP PATTERN: IF T5=No, SKIP TO NEXT SECTION]

T5a. To which grade levels are these non-FFVP free snacks offered by [SCHOOL NAME]? (Check all that apply.)

 Pre-school

 Pre-Kindergarten

 Kindergarten

 1st grade

 2nd grade

 3rd grade

 4th grade

 5th grade

 6th grade

 7th grade

 8th grade

T5b. At what time of day are these non-FFVP free snacks offered by [SCHOOL NAME]? (Check all that apply.)

 Before school

 After breakfast, before lunch

 After lunch, before end of school

 After school as part of USDA program

 After school, other

T5c. On how many days per week (in a full school week) are these non-FFVP free snacks usually offered by [SCHOOL NAME]?

 1

 2

 3

 4

 5

 Number of times varies, unable to determine usual or average number of days per week

T5d. What types of food are these non-FFVP free snacks offered by [SCHOOL NAME]? (Check all that apply.)

 Fresh fruit

 Fresh vegetables

 Other fruit

 Other vegetables

 Bread/grain products

 Dairy products

 Other type of food 1 (Please specify: _____________)

 Other type of food 2 (Please specify: _____________)

 Other type of food 2 (Please specify: _____________)

T5e. What is the funding source for these non-FFVP free snacks offered by [SCHOOL NAME]? (Check all that apply.)

 USDA

 State

 SFA

 Other funding source 1 (Please specify: _____________)

 Other funding source 2 (Please specify: _____________)

 Other funding source 3 (Please specify: _____________)

S. About the FFVP in this School [FOR SFAS WITH FFVP SCHOOLS. FILL OUT SEPARATELY FOR EACH FFVP SCHOOL]

This part of the survey asks about the operation of the Fresh Fruit and Vegetable Program at [SCHOOL NAME]. Several of the questions refer to the week of [REFERENCE WEEK]. If necessary, you may wish to consult with staff members from [SCHOOL NAME] to help you answer these questions as accurately as possible.

S1.Please indicate the school year in which [SCHOOL NAME] first participated in the FFVP.

􀂃 Before 2008-2009

􀂃 2008-2009

􀂃 2009-2010

[SKIP PATTERN: IF S1 RESPONSE WAS 2009-2010, SKIP TO S3].

S2. You indicated above that [SCHOOL NAME] participated in the FFVP prior to the current 2009-2010 school year. Have there been any changes in FFVP implementation by [SCHOOL NAME] in the current school year as compared to prior years?

Fruit and vegetable distribution methods (e.g., kiosk, classroom) for FFVP	􀂃 Added new distribution method(s) in 2009-2010	􀂃 Dropped distribution method(s) in 2009-2010	􀂃 No change in distribution methods
Time of day FFVP is offered	􀂃 Earlier time of day in 2009-2010	􀂃 Later time of day in 2009-2010	􀂃 No change in time of day
Number of days FFVP is offered	􀂃 More days in 2009-2010	􀂃 Fewer days in 2009-2010	􀂃 No change in number of days
Number of times per day FFVP is offered on FFVP days	􀂃 More times per day in 2009-2010	􀂃 Fewer times per day in 2009-2010	􀂃 No change in number of times per day
FFVP nutrition education and promotion activities	􀂃 More activities in 2009-2010	􀂃 Fewer activities in 2009-2010	􀂃 No change in number of activities
Involvement of outside partners in FFVP	􀂃 More involvement in 2009-2010	􀂃 Less involvement in 2009-2010	􀂃 No change in level of involvement
Variety of fruits and vegetables offered in FFVP	􀂃 More variety in 2009-2010	􀂃 Less variety in 2009-2010	􀂃 No change in variety
Total per-student quantity of fruits and vegetables served each month in FFVP	􀂃 More served in 2009-2010	􀂃 Less served in 2009-2010	􀂃 No change in quantity served

S3. How were fresh fruits or vegetables handed out or made available to students at [SCHOOL NAME] during the week of [REFERENCE WEEK] as part of the FFVP? Please check all distribution methods that apply.

􀂃 Inside classrooms

􀂃 School cafeteria

􀂃 Hallway

􀂃 Office (nurse, other)

􀂃 Cart/other mobile method

􀂃 Kiosks (A kiosk is a booth, window, counter, or similar location where food is distributed by a food service worker.)

􀂃 Snack bar

􀂃 School store

􀂃 Free vending machines

􀂃 Other method 1 (Please specify: ______________)

􀂃 Other method 2 (Please specify: ______________)

􀂃 Other method 3 (Please specify: ______________)

S3a. Besides the distribution methods you indicated were used during the week of [REFERENCE WEEK], in the current school year does [SCHOOL NAME] ever distribute fresh fruits or vegetables to students via any other methods as part of the FFVP? Please check all distribution methods that apply.

􀂃 Inside classrooms

􀂃 School cafeteria

􀂃 Hallway

􀂃 Office (nurse, other)

􀂃 Cart/other mobile method

􀂃 Kiosks

􀂃 Snack bar

􀂃 School store

􀂃 Free vending machines

􀂃 Other method 1 (Please specify: ______________)

􀂃 Other method 2 (Please specify: ______________)

􀂃 Other method 3 (Please specify: ______________)

􀂃 No other distribution methods used

S4. For each day of the week of [REFERENCE WEEK], please indicate (a) which grades of students were offered fresh fruits or vegetables (if any) as part of the FFVP before or after lunch. Then indicate (b) what type(s) of staff supervised this distribution and (c) how long fruits or vegetables were made available to students in each class. (If distribution was of shorter or longer duration for different grade levels, please report the average amount of time fruits or vegetables were made available for each grade level.)

	Monday	Tuesday	Wednesday	Thursday	Friday
No fresh fruits or vegetables offered to students as part of the FFVP on this day	□	□	□	□	□
a1. Grades offered fresh fruits or vegetables during school, before lunch	□All grades If not all grades, check the grades below: □ Pre-school □ Pre-kindergarten □ Kindergarten □ 1st grade □ 2nd grade □ 3rd grade □ 4th grade □ 5th grade □ 6th grade □ 7th grade □ 8th grade	□All grades If not all grades, check the grades below: □ Pre-school □ Pre-kindergarten □ Kindergarten □ 1st grade □ 2nd grade □ 3rd grade □ 4th grade □ 5th grade □ 6th grade □ 7th grade □ 8th grade	□All grades If not all grades, check the grades below: □ Pre-school □ Pre-kindergarten □ Kindergarten □ 1st grade □ 2nd grade □ 3rd grade □ 4th grade □ 5th grade □ 6th grade □ 7th grade □ 8th grade	□All grades If not all grades, check the grades below: □ Pre-school □ Pre-kindergarten □ Kindergarten □ 1st grade □ 2nd grade □ 3rd grade □ 4th grade □ 5th grade □ 6th grade □ 7th grade □ 8th grade	□All grades If not all grades, check the grades below: □ Pre-school □ Pre-kindergarten □ Kindergarten □ 1st grade □ 2nd grade □ 3rd grade □ 4th grade □ 5th grade □ 6th grade □ 7th grade □ 8th grade
a2. Grades offered fresh fruits or vegetables during school, after lunch	□All grades If not all grades, check the grades below: □ Pre-school □ Pre-kindergarten □ Kindergarten □ 1st grade □ 2nd grade □ 3rd grade □ 4th grade □ 5th grade □ 6th grade □ 7th grade □ 8th grade	□All grades If not all grades, check the grades below: □ Pre-school □ Pre-kindergarten □ Kindergarten □ 1st grade □ 2nd grade □ 3rd grade □ 4th grade □ 5th grade □ 6th grade □ 7th grade □ 8th grade	□All grades If not all grades, check the grades below: □ Pre-school □ Pre-kindergarten □ Kindergarten □ 1st grade □ 2nd grade □ 3rd grade □ 4th grade □ 5th grade □ 6th grade □ 7th grade □ 8th grade	□All grades If not all grades, check the grades below: □ Pre-school □ Pre-kindergarten □ Kindergarten □ 1st grade □ 2nd grade □ 3rd grade □ 4th grade □ 5th grade □ 6th grade □ 7th grade □ 8th grade	□All grades If not all grades, check the grades below: □ Pre-school □ Pre-kindergarten □ Kindergarten □ 1st grade □ 2nd grade □ 3rd grade □ 4th grade □ 5th grade □ 6th grade □ 7th grade □ 8th grade
b. Type(s) of staff supervising distribution	□ Teacher □ Aide □ Food service staff □ Administrator □ Other staff (Please specify:______________) □ None of the above	□ Teacher □ Aide □ Food service staff □ Administrator □ Other staff (Please specify:______________) □ None of the above	□ Teacher □ Aide □ Food service staff □ Administrator □ Other staff (Please specify:______________) □ None of the above	□ Teacher □ Aide □ Food service staff □ Administrator □ Other staff (Please specify:______________) □ None of the above	□ Teacher □ Aide □ Food service staff □ Administrator □ Other staff (Please specify:______________) □ None of the above
c. Average minutes per class that fresh fruits/vegetables were available	______ minutes per class □ Or check here if don’t know.	______ minutes per class □ Or check here if don’t know.	______ minutes per class □ Or check here if don’t know.	______ minutes per class □ Or check here if don’t know.	______ minutes per class □ Or check here if don’t know.

S5a. Which fresh fruits (if any) were distributed to students as part of the FFVP at [SCHOOL NAME] during [REFERENCE WEEK]? Please check all fruits distributed, or “None” if no fruits were distributed during [REFERENCE WEEK].

□ Apples

□ Apricots, nectarines or peaches

□ Bananas

□ Blackberries or raspberries

□ Blueberries

□ Cantaloupe or honeydew

□ Cherries

□ Grapefruit

□ Grapes

□ Kiwis

□ Mandarin oranges

□ Mangoes

□ Oranges

□ Pears

□ Pineapple

□ Plums

□ Strawberries

□ Tangerines

□ Watermelon

□ Other fruit (Please specify:__________________)

□ Other fruit (Please specify:__________________)

□ Other fruit (Please specify:__________________)

□ Other fruit (Please specify:__________________)

□ None

S5b. Which fresh vegetables (if any) were distributed to students as part of the FFVP at [SCHOOL NAME] during [REFERENCE WEEK]? Please check all vegetables distributed, or “None” if no vegetables were distributed during [REFERENCE WEEK].

□ Broccoli

□ Carrots

□ Cauliflower

□ Celery

□ Cucumber

□ Lettuce or other leafy greens

□ Peppers

□ Snap peas

□ Snow peas

□ String/green beans

□ Tomatoes

□ Yellow summer squash

□ Zucchini

□ Other vegetable (Please specify: _____________)

□ Other vegetable (Please specify: _____________)

□ Other vegetable (Please specify: _____________)

□ Other vegetable (Please specify: _____________)

□ None

S6. The list below includes all fresh fruits or vegetables that you reported were distributed in [SCHOOL NAME] during the week of [REFERENCE WEEK] as part of the FFVP. For each fresh fruit or vegetable that was distributed, please rate the overall quality of that fruit or vegetable.

Fruit or vegetable	Quality
Fruit 1	􀂃Very poor quality 􀂃Somewhat poor quality 􀂃Average quality 􀂃Somewhat high quality 􀂃Very high quality
Fruit 2	􀂃Very poor quality 􀂃Somewhat poor quality 􀂃Average quality 􀂃Somewhat high quality 􀂃Very high quality
…
Fruit N	􀂃Very poor quality 􀂃Somewhat poor quality 􀂃Average quality 􀂃Somewhat high quality 􀂃Very high quality
Vegetable1	􀂃Very poor quality 􀂃Somewhat poor quality 􀂃Average quality 􀂃Somewhat high quality 􀂃Very high quality
Vegetable 2	􀂃Very poor quality 􀂃Somewhat poor quality 􀂃Average quality 􀂃Somewhat high quality 􀂃Very high quality
…
Vegetable N	􀂃Very poor quality 􀂃Somewhat poor quality 􀂃Average quality 􀂃Somewhat high quality 􀂃Very high quality

S7. The list below includes some common fruits and vegetables that you reported were not distributed at [SCHOOL NAME] during [REFERENCE WEEK] as part of the FFVP. Please indicate below whether you have already distributed or currently plan to distribute these fruits and vegetables at any other time during the current 2009-2010 school year.

Fruit or vegetable	Have distributed during 2009-2010	Plan to distribute during 2009-2010
Fruit 1	􀂃Yes 􀂃No	􀂃Yes 􀂃No
Fruit 2	􀂃Yes 􀂃No	􀂃Yes 􀂃No
…
Fruit N	􀂃Yes 􀂃No	􀂃Yes 􀂃No
Vegetable1	􀂃Yes 􀂃No	􀂃Yes 􀂃No
Vegetable 2	􀂃Yes 􀂃No	􀂃Yes 􀂃No
…
Vegetable N	􀂃Yes 􀂃No	􀂃Yes 􀂃No

S8. The list below includes the fruits or vegetables that you have not already distributed during the current 2009-2010 school year as part of the FFVP. For each fruit or vegetable listed, please indicate the reason why you have not distributed that fruit or vegetable. (Check all that apply.)

Fruit or vegetable	Why not distributed in 2009-2010?
Fruit 1	􀂃 Too expensive 􀂃 Too messy 􀂃 Too much work to prepare 􀂃 Out of season 􀂃 Hard to obtain 􀂃 Too easily damaged/spoiled 􀂃 Unpopular with students 􀂃 Poor quality 􀂃 Other reason. (Please specify: _______________)
Fruit 2	􀂃 Too expensive 􀂃 Too messy 􀂃 Too much work to prepare 􀂃 Out of season 􀂃 Hard to obtain 􀂃 Too easily damaged/spoiled 􀂃 Unpopular with students 􀂃 Poor quality 􀂃 Other reason. (Please specify: _______________)
…
Fruit N	􀂃 Too expensive 􀂃 Too messy 􀂃 Too much work to prepare 􀂃 Out of season 􀂃 Hard to obtain 􀂃 Too easily damaged/spoiled 􀂃 Unpopular with students 􀂃 Poor quality 􀂃 Other reason. (Please specify: _______________)
Vegetable 1	􀂃 Too expensive 􀂃 Too messy 􀂃 Too much work to prepare 􀂃 Out of season 􀂃 Hard to obtain 􀂃 Too easily damaged/spoiled 􀂃 Unpopular with students 􀂃 Poor quality 􀂃 Other reason. (Please specify: _______________)
Vegetable 2	􀂃 Too expensive 􀂃 Too messy 􀂃 Too much work to prepare 􀂃 Out of season 􀂃 Hard to obtain 􀂃 Too easily damaged/spoiled 􀂃 Unpopular with students 􀂃 Poor quality 􀂃 Other reason. (Please specify: _______________)
…
Vegetable N	􀂃 Too expensive 􀂃 Too messy 􀂃 Too much work to prepare 􀂃 Out of season 􀂃 Hard to obtain 􀂃 Too easily damaged/spoiled 􀂃 Unpopular with students 􀂃 Poor quality 􀂃 Other reason. (Please specify: _______________)

S9. Looking at fresh fruit and vegetable distribution activities as part of the FFVP in [SCHOOL NAME] during the week of [REFERENCE WEEK], would you say this was a typical week for the program?

□ Yes

□ No

S9a. If no, how did this week differ? (Check all that apply.)

□ Different school schedule due to holiday or other event

□ Fresh fruits and vegetables offered more days than usual

□ Fresh fruits and vegetables offered fewer days than usual

□ Greater variety of fresh fruits and vegetables offered than usual

□ Lesser variety of fresh fruits and vegetables offered than usual

□ Greater amount of fresh fruits and vegetables offered than usual

□ Lesser amount of fresh fruits and vegetables offered than usual

□ Other (Please specify___________________.)

Thank you for completing this survey!