FFVP CFD Pilot - Individual

Evaluation of the Canned, Frozen, or Dried Fruits and Vegetables Pilot Project in the FFVP

Appendix E.2b1. SURVEY – PARENT (ENGLISH)

OMB Control No: 0584-XXXX

Expiration date: XX/XX/XXXX

Parent Survey

This is not a test! There are no right or wrong answers. Your child’s elementary school provides free fruits and vegetables to students as snacks - separate from the school meal (breakfast or lunch).

Please think about this school year and please mark one answer for each question or statement below.

My child’s first name: ______________________________ My child’s last name____________________

My child eats the free fruit and vegetable snacks offered at school…

1 Rarely or never

2 Some of the time

3 Most of the time

4 All of the time

5 Don’t know

My child likes the free fruit and vegetable snacks offered at school…

1 Rarely or never

2 Some of the time

3 Most of the time

4 All of the time

5 Don’t know

My child complains about the quality of the free fruit and vegetable snacks offered at school….

1 Rarely or never

2 Some of the time

3 Most of the time

4 All of the time

5 Don’t know

My child gets tired of the same kinds of free fruit and vegetable snacks that are offered at school….

1 Rarely or never

2 Some of the time

3 Most of the time

4 All of the time

5 Don’t know

How strongly do you agree or disagree with each of the following?

My child eats more fruits and vegetables since they have been offered as a free snack at school.

1 Agree Strongly

2 Agree Somewhat

3 Disagree Somewhat

4 Disagree Strongly

5 Don’t know

My child eats fewer unhealthy foods on days when fruits and vegetables are offered as a free snack at school.

1 Agree Strongly

2 Agree Somewhat

3 Disagree Somewhat

4 Disagree Strongly

5 Don’t know

My child has asked for fruits and vegetables at home more often since they have been offered as a as a free snack at school.

1 Agree Strongly

2 Agree Somewhat

3 Disagree Somewhat

4 Disagree Strongly

5 Don’t know

I encourage my child to eat the free fruit and vegetable snacks offered at school.

1 Agree Strongly

2 Agree Somewhat

3 Disagree Somewhat

4 Disagree Strongly

5 Don’t know

I don’t like it when teachers take time from class to give out the free fruit and vegetable snacks to children.

1 Agree Strongly

2 Agree Somewhat

3 Disagree Somewhat

4 Disagree Strongly

5 Don’t know

The fruit and vegetable snacks at school should be offered more frequently.

1 Agree Strongly

2 Agree Somewhat

3 Disagree Somewhat

4 Disagree Strongly

5 Don’t know

Overall, I think the fruit and vegetable snack program at school is good.

1 Agree Strongly

2 Agree Somewhat

3 Disagree Somewhat

4 Disagree Strongly

5 Don’t know

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control 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 10 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.

Spring only: Has anything changed in the free fruit and vegetable snacks since January 1, 2015 That is, are the kinds or types of fruits and vegetables the same as were offered as snacks in the fall?

1 Yes

2 No

5 Don’t know

Spring only: If yes, what has changed in the free fruit and vegetable snack program? Please mark all that apply.

1 Free snacks on more days of the week 2 Fresh fruits and vegetables less often No fresh fruit at all 3 No fresh vegetables at all 9 Other (specify)________________________________ ld Don’t know

14

Spring only: Which of the following types of fruit and vegetable snacks do you prefer for your child to be served in school? Do you prefer .... 1 Fresh fruit and vegetable snacks 2 Canned, frozen, or dried fruit and vegetable snacks 3 A mix of fresh, canned, frozen, or dried fruit and vegetable snacks 0 No preference

Finally, a few questions about your child.

Has your child attended this school since the beginning of the current school year (2014-2015)?

1 Yes

2 No

What does your child usually do for breakfast on school days?

1 Eats breakfast at home

2 Brings breakfast from home

3 Eats a school breakfast

4 Eats breakfast someplace else

5 Does not eat breakfast

What does your child usually do for lunch on school days?

1 Eats a school lunch

2

3 Other (include eats lunch at home)

4 Eats lunch someplace else

5 Does not eat lunch

Does your child receive free or reduced-price meals at school?

1 Yes, receives FREE meals

2 Yes, receives REDUCED PRICE meals

3 No

4 Don’t know

Is your child Hispanic or Latino?

1 Yes

2 No

How would you describe your child? Please mark all that apply.

1 American Indian or Alaska native

2 Asian

3 Black or African American

4 Native Hawaiian or Other Pacific Islander

5 White

Thank you for your help!

E.2b1.13