Sponsors and Sites

OMB Control No.:0584-NEW

Expiration Date: xx/xx/xxxx

Public reporting burden for this collection of information is estimated to average [insert time hours or 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 Services, Office of Policy Support, 3101 Park Center Drive, Room 1014, Alexandria, VA 22302 ATTN: PRA (0584-xxxx*). Do not return the completed form to this address

Appendix G1 SITES SURVEY INSTRUMENT

INTRODUCTION:

The U.S. Department of Agriculture’s (USDA’s) Food and Nutrition Service (FNS) partnered with Optimal Solutions Group, LLC, to conduct an evaluation of the Summer Meals Programs that includes both the Summer Food Service Program (SFSP) and the Seamless Summer Option (SSO). The main objectives of the evaluation are to describe the characteristics of service providers, to examine program operations, and to identify factors affecting sponsors, sites, and children’s participation in the program. Your responses will be kept private, will be combined with those from other program sites, and will not be reported separately. Your participation in this survey is very important and will help evaluate and improve the Summer Meals Programs.

ADMINISTRATIVE PROCEDURES

1) Does your site have more than one location?

1. YES

2. NO—SKIP TO 6

3. DON’T KNOW—SKIP TO 6

4. N/A—SKIP TO 6

5. REFUSED—SKIP TO 6

2) Is this the address of your site? [THE ADDRESS FROM SAMPLING FILE]

1. YES—SKIP TO 5

2. NO—GO TO 3 AND 4, THEN SKIP TO 6

3. DON’T KNOW—GO TO 3 AND 4, THEN SKIP TO 6

4. N/A—GO TO 3 AND 4, THEN SKIP TO 6

5. REFUSED—GO TO 3 AND 4, THEN SKIP TO 6

3) Please enter the address of your site: _________________________________

4) Please answer the survey questions with respect to the site located at the address entered above.

5) Please answer the survey questions with respect to the site located at: [THE ADDRESS FROM SAMPLING FILE].

6) What is the type of your site? (Check one)

1. Open site (open to all children in an area)

2. Restricted open site (open to all children, but sponsor limits attendance for security, safety, or control reasons)

3. Closed enrolled site (open to a group of children who enroll in an organized activity/program)

4. Migrant site

5. Camp

6. National Youth Sports Program (NYSP)

7. Other: ________________

8. DON’T KNOW

9. N/A

10. REFUSED

7) What is your site’s setting during the summer? (Check all that apply.)

1. School

2. Church

3. Young Men's Christian Association (YMCA)

4. Other religious organization

5. Library

6. Playground/park

7. Recreation center

8. Community center

9. Housing project

10. Mobile feeding site

11. Homeless shelter

12. Other: ________________

13. DON’T KNOW

14. N/A

15. REFUSED

8) Is your site in an urban, suburban, or rural area? (Check one.)

1. Urban

2. Suburban

3. Rural

4. DON’T KNOW

5. N/A

6. REFUSED

9) Is your site indoors or outdoors? Outdoor sites usually serve meals outdoors, except in bad weather. (Check one.)

1. INDOORS

2. OUTDOORS

3. BOTH INDOORS AND OUTDOORS

4. DON’T KNOW

5. N/A

6. REFUSED

10) Does your site provide transportation for children to it?

1. YES

2. NO—SKIP TO 13

3. DON’T KNOW—SKIP TO 13

4. N/A—SKIP TO 13

5. REFUSED—SKIP TO 13

11) On a typical day, approximately which percentage of children use transportation provided by the site, not including field trips? An estimate is fine.

|__|__|__|%

DON’T KNOW (-999)

N/A (-888)

REFUSED (-777)

12) Do participants pay extra for the transportation, or is it included in the cost of the program? (Check one.)

1. PAY EXTRA

2. INCLUDED IN COST

3. FREE/VOLUNTEERED

4. DON’T KNOW

5. N/A

6. REFUSED

13) Does your site have a security guard?

1. YES

2. NO

3. DON’T KNOW

4. N/A

5. REFUSED

14) For how many summers, including this summer, have the Summer Meals Programs operated at your site?

|___|___| # OF SUMMERS

DON’T KNOW (-99)

N/A (-88)

REFUSED (-77)

15) How many paid and volunteer staff members worked on the Summer Meals Programs at your site this summer? Please include all on-site paid and volunteer staff members, both those who dealt with administrative functions and those involved with the daily operation of the program.

1. |___|___|___| # OF PAID STAFF MEMBERS

2. |___|___|___| # OF VOLUNTEER STAFF MEMBERS

DON’T KNOW (-999)

N/A (-888)

REFUSED (-777)

16) Which of the following major tasks do the site staff perform when administering and implementing the Summer Meals Programs? (Check all that apply.)

1. Hiring staff

2. Serving food

3. Promoting, advertising, publicizing, and expanding the program

4. Transporting children

5. Purchasing and/or transporting food

6. Preparing/cooking food

7. Managing vendors

8. Monitoring food safety and quality

9. Monitoring health and safety

10. Assisting with site activities other than serving meals

11. Keeping records or documentation (meal count sheets, menus, production records)

12. Monitoring administrative, operating, and other costs

13. Conducting fund-raising

14. Other: ________________

15. DON’T KNOW

16. N/A

17. REFUSED

17) In addition to the Summer Meals Programs, does your site currently participate in any other government nutrition programs, such as the Child and Adult Care Food Program (CACFP)?

1. YES

2. NO—SKIP TO 19

3. DON’T KNOW—SKIP TO 19

4. N/A—SKIP TO 19

5. REFUSED—SKIP TO 19

18) In which of the following government nutrition programs does your site participate? (Check all that apply.)

1. National School Breakfast Program (NSBP)

2. National School Lunch Program (NSLP)

3. After School Meals component of NSLP

4. Child and Adult Care Food Program (CACFP)

5. At-Risk Afterschool Meals component of CACFP

6. Commodity Supplemental Food Program (CSFP)

7. The Emergency Food Assistance Program (TEFAP)

8. Women, Infants, and Children Program (WIC)

9. Supplemental Nutrition Assistance Program (SNAP)

10. Other _________________

11. DON’T KNOW

12. N/A

13. REFUSED

19) Does your site currently participate in any other government programs or receive grants that assist with administering, funding, or improving the Summer Meals Programs? (for example, Housing and Urban Development [HUD] programs)

1. YES

2. NO—SKIP TO 21

3. DON’T KNOW—SKIP TO 21

4. N/A—SKIP TO 21

5. REFUSED—SKIP TO 21

20) Please specify these government programs or grants: ­­­­­­­­­­­­­­­­­­­­­­­­­___________________________________

21) Does your site offer adult feeding programs?

1. YES

2. NO

3. DON’T KNOW

4. N/A

5. REFUSED

22) Does your site offer a paid meals option?

1. YES

2. NO

3. DON’T KNOW

4. N/A

5. REFUSED

23) On which date did your site first begin meal service for Summer Meals Programs this summer?

|___|___| / |___|___| MONTH / DAY

DON’T KNOW (-99)

N/A (-88)

REFUSED (-77)

24) On which date did your site stop meal service for Summer Meals Programs this summer? If meal service is still ongoing, on which date do you expect to stop meal service this summer?

|___|___| / |___|___| MONTH/DAY

DON’T KNOW (-99)

N/A (-88)

REFUSED (-77)

25) On which days of the week is your site in operation? (Check one.)

1. MONDAY THROUGH FRIDAY

2. MONDAY THROUGH SUNDAY/EVERY DAY OF THE WEEK

25.1) OR (Check all that apply.)

1. MONDAY

2. TUESDAY

3. WEDNESDAY

4. THURSDAY

5. FRIDAY

6. SATURDAY

7. SUNDAY

8. DON’T KNOW

9. N/A

10. REFUSED

26) What is your site’s normal daily starting time (when children first begin arriving)? Please provide the earliest start time for any activity provided, not just for meals.

|___|___| : |___|___| AM/PM

DON’T KNOW (-99)

N/A (-88)

REFUSED (-77)

27) What is your site’s normal daily closing time? (the time for all activities, not just for meals)

|___|___| : |___|___| AM/PM

DON’T KNOW (-99)

N/A (-88)

REFUSED (-77)

28) At which time is the first meal served at your site, including snacks?

|___|___| : |___|___| AM/PM

DON’T KNOW (-99)

N/A (-88)

REFUSED (-77)

29) At which time is the last meal served at your site, including snacks?

|___|___| : |___|___| AM/PM

DON’T KNOW (-99)

N/A (-88)

REFUSED (-77)

PROMOTION AND PUBLICITY ACTIVITIES

30) Does your site’s staff promote, publicize, or advertise the site by conducting marketing and informational activities?

1. YES

2. NO

3. DON’T KNOW

4. N/A

5. REFUSED

31) Does your site work/partner with other organizations to publicize, improve, or implement the Summer Meals Programs or to increase children’s attendance?

1. YES

2. NO—SKIP TO 34

3. DON’T KNOW—SKIP TO 34

4. N/A—SKIP TO 34

5. REFUSED—SKIP TO 34

32) Which of the following organizations does your site work with? (Check all that apply.)

1. U.S. Department of Education

2. U.S. Department of Agriculture

3. WIC, SNAP, or other nutrition programs

4. State Department of Education

5. State Department of Agriculture

6. Local government agencies or departments

7. Schools or school districts

8. Nutrition or anti-hunger advocacy groups or food banks

9. Religious organizations

10. Community-based organizations or groups

11. Business organizations

12. Media (radio, TV, print, Internet)

13. Other:________________

14. DON’T KNOW

15. N/A

16. REFUSED

33) Overall, which kinds of assistance do these organizations provide? (Check all that apply.)

1. Publicize and advertise the program

2. Increase funding

3. Implement or improve the program

4. Provide training

5. Increase children’s attendance

6. Other:________________

7. DON’T KNOW

8. N/A

9. REFUSED

34) Do your site or your partner organizations conduct activities to increase the number of children participating in the Summer Meals Programs?

1. YES

2. NO—SKIP TO 40

3. DON’T KNOW—SKIP TO 40

4. N/A—SKIP TO 40

5. REFUSED—SKIP TO 40

35) How helpful are the following tasks in increasing the number of children participating in the Summer Meals Programs? (Click the response button for each conducted activity.)

[web survey pre-populates with do not use]

Securing additional funds	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Adding volunteers or staff	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Adding food service vendors	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Increasing the number of days the site is open during the summer	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Extending the hours of operation during the day	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Increasing the number of days per week the site is open	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Providing earlier, later, or additional meals (breakfast, snacks, supper)	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Improving the quality or selection of meals	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Providing or improving activities besides meals	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Providing or improving transportation	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Other:________________	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Other:________________	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Other:________________	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know

36) How helpful are the following marketing, promotion, and publicity activities in increasing the number of children participating in the program? (Click the response button for each conducted activity.)

[web survey pre-populates with do not use]

Sending public mailings (letters, newsletters, brochures)	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Using public service announcements (television, radio, newspapers)	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Conducting public promotional activities (flyers, posters, billboards, gifts)	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Holding special events	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Using a toll-free number/hotline	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Using websites	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Sending e-mails	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Conducting door-to-door/home visits	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Contacting families at camps or other programs	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Working with other organizations	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Other: ___________________	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Other: ___________________	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Other: ___________________	N/A do not use	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know

37) Did your organization or your partner organizations conduct activities that failed to increase the number of children participating in the program?

1. YES

2. NO—SKIP 39

3. DON’T KNOW—SKIP 39

4. N/A—SKIP 39

5. REFUSED—SKIP 39

38) Please briefly explain which activities failed to increase program participation and why.

1. _______________________________

2. _______________________________

3. _______________________________

4. _______________________________

5. _______________________________

39) Which of the following problems or barriers does your site experience in increasing children’s attendance? (Check all that apply.)

1. Insufficient understanding of the programs

2. Insufficient promotion or publicity

3. Limited capacity or enrollment limits

4. Insufficient funding

5. Insufficient reimbursement

6. Insufficient staff or volunteers

7. Site not being open long enough

8. Transportation problems or distance of children from the site

9. Security/safety concerns

10. Inadequate facilities (lack of space, no air-conditioning)

11. Some families cannot afford to pay program fees (for enrolled sites and camps)

12. Insufficient activities besides meals

13. Poor variety or quality of food

14. Children want or need to stay home

15. Embarrassment/stigma among children and/or parents/caregivers

16. Lack of motivation among children and/or parents/caregivers

17. Children attending alternate programs

18. Other: __________________

19. DON’T KNOW

20. N/A

21. REFUSED

40) Does your site offer any activities other than serving meals to children?

1. YES

2. NO—SKIP TO 45

3. DON’T KNOW—SKIP TO 45

4. REFUSED—SKIP TO 45

5. N/A—SKIP TO 45

6. REFUSED—SKIP TO 45

[if conducts activities to increase the number of children participating in the program, item 34 = 1]

41) Overall, over the past several years, how much did the following activities increase children’s attendance? (Click the response button for each offered activity.)

[web survey pre-populates with do not offer]

Arts and crafts	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Performing arts	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Educational/instructional activities	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Organized games or sports	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Supervised free play	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Supervised child care	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Swimming	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Off-site field trips	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Religious activities	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Cooking	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Counseling, therapy, social skills development	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Multicultural activities	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Other: __________________	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Other: __________________	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know
Other: __________________	N/A do not offer	very much	much	somewhat	a little	not at all	don’t know

[If do not conduct activities to increase the number of children participating in the program, item 34 > 1]

42) Which of the following activities does your site offer? (Check all that apply.)

1. Arts and crafts

2. Performing arts

3. Educational/instructional activities

4. Organized games or sports

5. Supervised free play

6. Supervised child care

7. Swimming

8. Off-site field trips

9. Religious activities

10. Cooking

11. Counseling, therapy, social skills development

12. Multicultural activities

13. Other: __________________

14. DON’T KNOW

15. N/A

16. REFUSED

43) Does your site use additional funding sources to pay for these activities?

1. YES

2. NO—SKIP TO 45

3. DON’T KNOW—SKIP TO 45

4. N/A—SKIP TO 45

5. REFUSED—SKIP TO 45

44) Which additional funding sources does your organization use? (Check all that apply.)

1. Internal funds

2. Sponsor’s funds/grants

3. Federal government funds/grants

4. State government funds/grants

5. Local government funds/grants

6. Private funds/grants

7. Program fees

8. Donations/volunteers

9. Other: ________________

10. DON’T KNOW

11. N/A

12. REFUSED

45) Has your site attempted to participate in the Summer Meals Programs beyond summer months?

1. YES

2. NO—SKIP TO 47

3. DON’T KNOW—SKIP TO 47

4. N/A—SKIP TO 47

5. REFUSED—SKIP TO 47

46) Which of the following problems or barriers has your site experienced in participating in the program beyond summer months? (Check all that apply.)

1. Insufficient understanding of the program

2. Insufficient promotion or publicity

3. Insufficient funding

4. Insufficient reimbursement

5. Insufficient staff or volunteers

6. Competing programs and/or other local alternatives

7. Insufficient assistance from state office

8. Insufficient assistance from sponsor

9. Insufficient assistance from schools or school districts

10. Insufficient assistance from other organizations

11. Problems with vendors

12. Other:__________________

13. DON’T KNOW

14. N/A

15. REFUSED

MEALS PROVIDED

The next questions ask about the meals provided through the Summer Meals Programs.

47) How many meals are served to children on a typical day?

1. Breakfast: |___|___|___| # OF MEALS SERVED

2. Morning snack: |___|___|___| # OF MEALS SERVED

3. Lunch: |___|___|___| # OF MEALS SERVED

4. Afternoon snack: |___|___|___| # OF MEALS SERVED

5. Supper: |___|___|___| # OF MEALS SERVED

6. Evening snack: |___|___|___| # OF MEALS SERVED

7. Other: _______________ |___|___|___| # OF MEALS SERVED

DON’T KNOW (-999)

N/A (-888)

REFUSED (-777)

48) Is the food prepared on-site?

1. YES—SKIP TO 51

2. NO

3. DON’T KNOW—SKIP TO 51

4. N/A—SKIP TO 51

5. REFUSED—SKIP TO 51

49) Who delivers the food? (Check one.)

1. Sponsor

2. School food authority

3. Private vendor

4. Government vendor

5. Site’s staff, from off-site

6. Other, specify: ___________________

7. DON’T KNOW

8. N/A

9. REFUSED

[IF DELIVERED BY THE SITE’S STAFF OR OTHER, ITEM 49 = 5 OR = 6]

50) Who prepares the food? (Check one.)

1. Sponsor

2. School food authority

3. Private vendor

4. Government vendor

5. Other, specify: ___________________

6. DON’T KNOW

7. N/A

8. REFUSED

51) Which types of foods do the meals usually contain? (Check all that apply.)

1. Meat or meat alternatives

2. Eggs

3. Bread or bread alternatives (cookies, crackers, rolls)

4. Cereal

5. Milk

6. Yogurt

7. Cheese

8. Vegetables

9. Fruits

10. Mixed dish (pizza, sandwich, corn dog, hamburger, soup)

11. Other: ________________

12. DON’T KNOW

13. N/A

14. REFUSED

52) Which of the following food-safety measures are taken at your site? (Check all that apply.)

1. On-site facilities for hand washing and/or hand-sanitizing

2. Gloves are available for staff who handle food

3. Gloves are required for staff who handle food

4. On-site refrigerator

5. On-site cooler/thermos

6. On-site freezer

7. On-site stove or kitchen

8. Cold food is transported in a refrigerated vehicle

9. Cold food is transported in a cooler in a non-refrigerated vehicle

10. Meals are served within the safety required time

11. Meals are checked for quality

12. Other: _______________

13. DON’T KNOW

14. N/A

15. REFUSED

TRAINING RECEIVED

53) Which kind of organization is your sponsor? (Check one.)

1. Public school

2. Private school

3. School food authority (SFA)

4. State government agency

5. County government agency

6. City, local, or municipal government agency

7. Residential camp

8. National Youth Sports Program (NYSP)

9. Nonprofit organization

10. Other: ___________________________

11. DON’T KNOW

12. N/A

13. REFUSED

54) Who provided Summer Meals Programs training to site staff? (Check all that apply.)

1. State agency

2. Sponsor

3. Site’s program director

4. Other staff at your site

5. Someone from a food or nutrition advocacy group

6. Other: _______________

7. DON’T KNOW

8. N/A

9. REFUSED

55) How many staff members have been through training for the Summer Meals Programs this year?

|___|___|___| # OF STAFF MEMBERS

DON’T KNOW (-999)

N/A (-888)

REFUSED (-777)

56) How helpful were the following training topics that you or your staff received?

(Click the response button for each training topic received.)

[web survey pre-populates with didn’t receive]

USDA and state monitoring of sites	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Sponsor monitoring of sites	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Sponsor administrative reviews of sites	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Sponsor training of site staff	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Site violations and deficiencies	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Health regulations and inspections	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Meal count and food expenditure records	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Assessment of food quality	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Menu planning	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Vendor management and contracts	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Reimbursements and claims submissions process	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Sponsor monitoring of operational budgets	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Sponsor monitoring of administrative budgets	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Budget certification	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Application process, eligibility issues, and documentation	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Advertising, promoting, and publicizing the program	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Use of computer mapping for eligibility	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Other topics: ___________________	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Other topics: ___________________	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know
Other topics: ___________________	N/A did not receive	very helpful	helpful	somewhat helpful	a little helpful	not at all helpful	don’t know

PROGRAM PARTICIPATION

57) Approximately how many children are served meals on a typical day at the site? An estimate is fine.

|___|___|___|___| # OF CHILDREN

DON’T KNOW (-999)

N/A (-888)

REFUSED (-777)

58) Approximately how many children are served meals on a day with the lowest attendance? An estimate is fine.

|___|___|___|___| # OF CHILDREN

DON’T KNOW (-999)

N/A (-888)

REFUSED (-777)

59) On a typical day, what percent of children attending the site are . . . Estimates are fine.

1. Preschoolers . . . . . . . . . . . . . . . . . . . . . . . . . |___|___|___|%

2. Elementary age (Grades K–5) . . . . . . . . . . . . |___|___|___|%

3. Middle school or junior high age (Grades 6–8) |___|___|___|%

4. High school age (Grades 9–12) . . . . . . . . . . . . |___|___|___|%

DON’T KNOW (-999)

N/A (-888)

REFUSED (-777)

60) On a typical day, what percent of children attending the site are . . . Estimates are fine.

1. Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |___|___|___|%

2. Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |___|___|___|%

DON’T KNOW (-999)

N/A (-888)

REFUSED (-777)

61) On a typical day, what percent of children attending the site are . . . Estimates are fine.

1. Hispanic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |___|___|___|%

2. African-American or Black, not Hispanic . |___|___|___|%

3. White, not Hispanic . . . . . . . . . . . . . . . . . |___|___|___|%

4. American Indian or Alaskan Native . . . . . . . . |___|___|___|%

5. Asian or Pacific Islander . . . . . . . . . . . . . . . . |___|___|___|%

6. Multiracial. . . . . . . . . . . . . . . . |___|___|___|%

7. Other: ____________________. . . . . . . . . . . |___|___|___|%

DON’T KNOW (-999)

N/A (-888)

REFUSED (-777)

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