FDD Qualitative Food Survey

OMB Control Number # 0584-0524

Expiration Date: 06/30/2016

Unseasoned Chicken Strip Evaluation Survey

1. In what state is your school district located? (Choose from: CA, TX, NV, NJ, KY, IL, AR, UT, NH, Other)

2. What grade levels do you serve? (check all that apply)

• Elementary School

• Middle School

• High School

3. Did you receive and serve item 110462- Unseasoned Chicken Strips in your schools?

   1. Yes

   2. No

4. The case size for the Unseasoned Chicken Strips was:

   1. Just right

   2. Too large

   3. Too small

If too large or small, please explain:

5. Did the product packaging provide the necessary cooking instructions, nutrition information, and ingredient statement?

   1. Yes

   2. No

If No, please state what information was missing:

6. Was the product easy to prepare in your kitchen setting?

   1. Yes

   2. No

Comments:

7. Were you able to use this product in more than one way on your menus?

   1. Yes

   2. No

Comments:

8. The flavor of the product was:

   1. Excellent

   2. Good

   3. Fair

   4. Poor

Comments:

9. The texture of the product was:

   1. Excellent

   2. Good

   3. Fair

   4. Poor

Comments:

10. The appearance of this product was:

    1. Excellent

    2. Good

    3. Fair

    4. Poor

Comments:

11. The size of the chicken pieces was:

    1. Just right

    2. Too large

    3. Too small

Comments:

12. Was the cost of this item competitive with other similar items purchased for your school meal program?

    1. Yes

    2. No

    3. Don’t Know

Comments:

13. If offered through USDA Foods in the future, would you order this product again?

    1. Yes

    2. No

    3. Not sure

Comments:

14. Please provide comments or suggestions for how this product could be improved (free response):

OMB BURDEN STATEMENT: 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 control number. The valid OMB control number for this information collection is 0584-0524. The time 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.