National Healthy School Canteens

Participant’s Workbook

Appendix 3: Example Student Survey Questionnaires

Page last updated: 23 October 2013

Example 1

Dear Teachers,

Please find attached the Canteen’s Winter Menu Survey for your class.

This Friday, during the lunch break, a display of possible Winter Menu options will be set up on trestle tables outside the Canteen. Students will have an opportunity to look at and taste a few of the options available for the Winter Menu.

After seeing this display during Friday lunch break, would it be possible to get your students to vote on the options listed below, then return the completed survey to the front office, by the end of Friday?

This would be much appreciated as we are hoping to finalise the Winter Menu during Camp Week and have the menu ready to start by Week 4.

If you would like assistance with the survey, [insert name of canteen staff] is able to help between 2pm and 3pm on Friday. Just leave a message at the Canteen on Friday morning.

Thank you for your help.

Yours sincerely,
Canteen Committee

Example Survey Questionnaires
Submitted by Helen Morris,
Seaview Downs Primary School, SA

To all classes,

The Winter Menu will start soon. Once again, feedback from students is a great help when planning the menu. If possible, could you take the time to vote on the questions below? Any other suggestions are very welcome.

Thank you,
Canteen Committee

1. How many students in your class would prefer the following?

Stir-fry Noodles (This is a new item – as seen on the Look and Taste Table) Check Box for selection
or instead
Cup of Noodles (currently on the menu) Check Box for selection

2. How many students in your class would prefer the following?

Beef Ravioli (currently on the menu) Check Box for selection
or instead
Twirl Bolognaise Check Box for selection

3. How many of you would like to have the following on the menu?

You can vote for as many of these as you like.

Cottage Pie Check Box for selection
(This is a new item – as seen on the Look and Taste Table: Bolognaise sauce, peas, carrots and corn, topped with mashed potato and melted cheese)

Hot Chicken Roll Check Box for selection
(This was on the menu last winter: Hot roll with roast chicken meat, mayo and shredded lettuce)

Soup Deal Check Box for selection
(This was on the menu last winter: Chicken and corn soup with cheese toastie and a muffin)

Recess Specials
As usual, the Recess Specials on the Canteen Menu will change to suit the cooler weather. Below is a list of possible Recess Specials.

Some of them were on the menu last winter and most were on the Look and Taste Table. The most popular four will be put on the menu. As usual, Warm Chocolate Milk will be put on with some of the Recess Specials.

Please ask how many of the students in your class would like the following Recess Specials.

(Each student can vote for more than one item – in fact, you can vote for all the items if you like.)

Hot Bagels with low-fat cream cheese Check Box for selection

Cheese Jaffles ( cheese toastie) Check Box for selection

Cup of Tomato and Noodle Soup with a hot mini roll Check Box for selection

Mini Vegie Pizzas Check Box for selection
(a bread or muffin base, topped with a variety of vegetables and melted cheese, as seen on the Look and Taste Table)

Peachey Pancakes topped with maple syrup Check Box for selection

Mini Hot Fruit Crumble Check Box for selection

Apple and Custard Jaffles Check Box for selection
( toastie filled with stewed apple and custard)

Hot Muffins Check Box for selection

Hot Crumpet Fingers topped with 100% fruit spread Check Box for selection

Thank you!

Any other suggestions?

Example 2

Dear Teachers,

Please find attached the Canteen’s Summer Menu Survey for your class.

Students will have seen and/or tasted most items in the survey through recent Canteen Specials and last year’s Summer Menu.

Would it be possible to get your students to vote on the options listed below and return the completed survey to the Canteen, by [nsert date]?

We are hoping to finalise the menu by the end of Week 2 next term, in order to have the menu ready to start by Week 4. Once again, thank you for your help.


Kind regards,
Canteen Committee

2009 Canteen Summer Menu Class Survey

To all classes,
The Summer Menu will start Week 4 next term. Once again, feedback from students is a great help when planning the menu.

Menu items that will be returning for summer include:
  • frozen grapes
  • UFOs (frozen pineapple rings)
  • a second flavour for the fruit slushies, and
  • some extra fruit ice blocks.
If possible, could you take the time to vote on the questions below?

Thank you.

1. How many students in your class would like the following items on the menu?

You can vote for as many of these items as you like.
You don’t have to have tasted the item to vote for it – although, it probably helps!

Kickin’ Chicken ‘n’ Rice Check Box for selection
As trialled with the recent Show Week Meal Deal (chicken with rice and vegies in a cheesy sauce)

Very Vegie Curry with Rice Check Box for selection
As trialled with the recent Show Week Meal Deal (very mild curry with chickpeas, broccoli and rice)

Spaghetti Bolognaise Check Box for selection
As trialled with the recent Show Week Meal Deal

Honey Soy Chicken Drumstick Check Box for selection
As was on the menu last summer (chicken leg – skinless – dipped in a honey-soy sauce and baked)

Baked Potato Check Box for selection
As was on the menu last summer

Any suggestions for toppings for the Baked Potato?

Banana Ice Cream on a stick Check Box for selection
(Banana flavoured reduced-fat milk, frozen)

Frozen Yoghurt (frozen yoghurt stick) Check Box for selection

Chocolate Stick (frozen chocolate flavoured milk on a stick) Check Box for selection

2. Recess Specials

Below is a list of possible Recess Specials for summer.
Please ask how many of the students in your class would like the following Recess Specials.
(Each student can vote for more than one item – in fact, you can vote for all the items if you like.)

Strawberry Thick Shake Check Box for selection
(milk, strawberries and strawberry frozen yoghurt)

Tub of Fresh Fruit Salad Check Box for selection
(as is, or topped with yoghurt)

Mud-Hole with Berries Check Box for selection
(reduced-fat chocolate custard and mixed berries)

Star-Cake topped with Fruit and Yoghurt Check Box for selection
(cold pancake, freshly sliced strawberries, yoghurt)

Muffin with Chocolate Shake Check Box for selection

Thank you!
Any other suggestions?

Notes

Provide feedbackIf you would like a response please complete our enquiries form.


Comments will be used to improve web content and will not be responded to.

Real person check

This form uses a CAPTCHA to ensure that it is submitted by a person, instead of a machine or automated software.


Privacy statement