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Sample Survey

This survey will be useful if you decide to have a student panel with a select group of students or a taste test open to anyone who wants to participate. The results from the survey will give you solid feedback on perceptions and opinions regarding soy-enhanced foods and their incorporation in your school lunch program.

Note: you can cut, copy and distribute this survey as needed, and remember, you should have one survey for each food item served.


Name of food item served:___________________________

Please fill out the following survey regarding the food item you just tried. Please circle one.

1. Did you like this food?
   1. Yes 2. No 3. Don't Know

1. Would you choose this food if it were served in your school cafeteria?
   1. Yes 2. No 3. Don't Know

1. Do you think your school cafeteria should serve this food?
   1. Yes 2. No 3. Don't Know