SURVEY: TYPE OF FOOD AFTER SCHOOL

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• Year Group

  Select 3F L4 U4 L5 U5 L6 U6 Staff

  • 3F
  • L4
  • U4
  • L5
  • U5
  • L6
  • U6
  • Staff

WHAT IS CURRENTLY PURCHASED

• Do you purchase food before school.

  Yes

  No

  This term

• Do you purchase food at break?

  Yes

  No

  This term

• Do you purchase food at lunch?

  Yes

  No

  This term

FOOD AFTER SCHOOL

• Do you have a club/sport after school.

  Yes

  No

  N/A

• Would you purchase food after school?

  Yes

  No

  N/A

IF YES

• Pasta with sauce

  Yes

  No

  N/A

• Backed Potato

  Yes

  No

  N/A

• Toasted Sandwich

  Yes

  No

  N/A

• Sandwich

  Yes

  No

  N/A

• Add signature

  Sign