patriot School Three
Fifth Grade 		patriot


sandwich

 What's on the Menu?
    boy eating lunch  


hamburger
Please fill in the questionnaire below about our school lunch selections.  Examples and important information are marked with a  red asterisk*.
First Name   
     Last Name   

  Classroom Teacher 
Miss Piazza            Mrs. Jones
Mrs. Schmidt          Mrs. Jakimec 
       
Lunch Period
 
 
How often do you buy lunch at school?  
*Choose only one		 Always       
Sometimes    
Never

 
Which type of hot meals do you like?
*Check all that apply
Pizza                Chicken Nuggets           Tacos               Grill Cheese      Hamburgers                  Hot Dogs  
 
Which type of cold meals do you like?
*Check all that apply		 Tuna fish          Ham and Cheese             Salad
PB&J                Bologna                         Turkey
 
What are your favorite snacks sold in the cafeteria?
*Check all that apply

 

 Pretzels         Pudding                           Ice Cream
Fruit             Granola Bars                    Cookies

 
Which beverage do you buy most often?
*Choose only one		 Milk               Chocolate Milk     Strawberry Milk      
Fruit Punch     Grape Juice         Apple Juice
Are you satisfied with the school lunch menu?  
What other foods would you like to see served at lunch?

 

  

Site Designed and Maintained by:  Christine Piazza
Last Updated:  12/18/2006