Private Schools

CEO C_16 PEAR Web Survey of LEA FS Directors_Full version

OMB Clearance # 0584-XXXX

Expiration Date: XX/XX/20XX

LEA ID #:

LEA Name:

LEA FSD Name:

LEA FSD Phone:

LEA FSD email:

Community Eligibility Option Evaluation

Participation, Enrollment, Attendance, and
Revenue (PEAR) Web Survey of
LEA Foodservice Directors (full version)

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 number. The valid OMB control number for this information collection is 0584-XXXX. The time required to complete this information collection is estimated to average 175 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.

Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Food and Nutrition Service, Office of Research and Analysis, 3101 Park Center Drive, Alexandria, Virginia 22302.

Prepared for:

U.S. Department of Agriculture Abt Associates

Food and Nutrition Service

Office of Research and Analysis

Prepared by:

Abt Associates

INTRODUCTION

Thank you for taking part in our web survey for the Community Eligibility Option Evaluation. Abt Associates has been hired by the Food and Nutrition Service of the U.S. Department of Agriculture to conduct an evaluation of the Community Eligibility Option, a new system of reimbursement for the National School Lunch Program and School Breakfast Program. Below are a few links that will provide you with detailed information about this evaluation and the survey. They include a fact sheet about the Community Eligibility Option Evaluation, the advance email sent to respondents describing details about this survey, and a worksheet that describes information you will need to collect in order to complete this survey. To complete this survey, you will need to access your records from school year 2010-2011 to the present – see details under worksheet link below.

Please note, if you cannot complete the survey in one sitting, you can save it and complete it at a later date. This survey will take about 175 minutes to complete.

Community Eligibility Option Evaluation fact sheet

Advance email about the Participation, Enrollment, Attendance, and Revenue (PEAR) Web Survey of LEA Foodservice Directors (full version)

Worksheet for the Participation, Enrollment, Attendance, and Revenue (PEAR) Web Survey of LEA Foodservice Directors (full version)

PN: When respondent clicks on above link, the appropriate document will be displayed (in PDF format) with the ability for respondent to print.

Information provided in this survey will be kept private, to the extent provided by law. No data will be attributed to specific survey respondents. De-identified data from this study will be provided to the Food and Nutrition Service of the U.S Department of Agriculture, and aggregate measures of subgroups of Local Education Agencies (LEAs) may also be provided. Responses to the study will in no way affect your agency’s receipt of funds from USDA’s school meals program. As you may know, the Healthy-Free Kids Act of 2010 (PL 111-296, Section 305) requires cooperation with program research and evaluation by agencies and contractors participating in programs authorized under the Act and the Child Nutrition Act of 1966.

If you have any questions or concerns about your rights as a study participant, call Teresa Doksum. She is the Institutional Review Board Administrator at Abt Associates. Her phone number is 877-520-6835 (toll-free).

Your input is important to assure the accuracy of this evaluation. We thank you in advance for your time and cooperation. If you have any questions, feel free to contact Abt Associates at: 855-759-5752 (toll-free) or CommunityEligibility@abtassoc.com.

LEA INFORMATION

1. Does your LEA operate any schools under Provision 2 or Provision 3, either for breakfast or lunch? (Under Provision 2 and Provision 3, meals are served free to all students, and applications for free/reduced price meals are required in “base” years, usually every five years.)

□ Yes (go to INELIGIBLE) □ No (go to 2)

INELIGIBLE: I’m sorry but your LEA is not eligible for this survey. We are not collecting this survey information from LEAs that operate Provision 2 or Provision 3 schools. Thank you for your time. END SURVEY

2. How many schools in your LEA currently operate the National School Lunch Program (NSLP)? Please provide counts of elementary, middle, and high schools (as defined by your State) operating the NSLP in your LEA.

|__|__|__| NSLP Elementary schools

|__|__|__| NSLP Middle schools

|__|__|__| NSLP High schools

|__|__|__| NSLP Other schools, specify grades: _____________

2a. Do all of these schools operate the School Breakfast Program (SBP)?

□ Yes (go to 3) □ No

2b. How many schools in your LEA currently operate the School Breakfast Program (SBP)? Please provide counts of elementary, middle, and high schools (as defined by your State) operating the SBP in your LEA.

|__|__|__| SBP Elementary schools

|__|__|__| SBP Middle schools

|__|__|__| SBP High schools

|__|__|__| SBP Other schools, specify grades: _____________

3. Is your LEA currently using the Community Eligibility Option?

□ Yes □ No (go to 3c)

3a. (If yes) Does your LEA use the Community Eligibility Option in all schools that operate the School Breakfast Program and the National School Lunch Program?

□ Yes (go to 3c) □ No

3b. Please provide counts of elementary, middle, and high schools currently using the Community Eligibility Option.

|__|__|__| Elementary schools with Community Eligibility Option

|__|__|__| Middle schools with Community Eligibility Option

|__|__|__| High schools with Community Eligibility Option

|__|__|__| Other schools with Community Eligibility Option, specify grades: _____________

3c. What are the start and end dates of School Year 2011-2012?

START: |__|__| / |__|__| / 2011
M M D D

END: |__|__| / |__|__| / 2012
M M D D

MEAL COUNTS

We are collecting data from three school years, starting with School Year 2010-2011. For each school year, we ask you to provide meal counts for the months of October, November, and December. In a separate table we ask you to provide meal counts for the complete School Year (e.g. Aug/Sep to May/Jun). For this information please report meal counts as you have reported them to your state.

In addition to meal counts, please also report the number of operating days for each month listed, as well as for the entire school year, as specified in the National School Lunch Program (NSLP) tables. (Questions 4c, 4d, 5c, 5d, and 6b:) If data for any time period are not available, check the “Not Available” box in that row.

4a. For all schools in your LEA, please record the number of breakfasts served under the School Breakfast Program (SBP) for the months of October, November, and December in 2010.

SY 2010-2011: School Breakfast Program (SBP)

Months		Number of Reimbursable Breakfasts Served
	Not Available	Free	Reduced-Price	Paid	Total
October 2010	
November 2010	
December 2010	

4b. Please record the total number of reimbursable breakfasts served in the School Year 2010-2011.
NOTE: Please only complete this table if you have the yearly totals. If you must add up monthly counts to obtain the total, you may leave this section blank.

School Year 2010 - 2011		Number of Reimbursable Breakfasts Served
	Not Available	Free	Reduced-Price	Paid	Total
School Year 2010-2011 Total	

4c. For all schools in your LEA, please record the number of lunches served under the National School Lunch Program (NSLP) and the number of operating days for the months of October, November, and December in 2010.

SY 2010-2011: National School Lunch Program (NSLP)

Months		Number of Reimbursable Lunches Served				Number of Operating Days
	Not Available	Free	Reduced-Price	Paid	Total
October 2010							 N/A
November 2010							 N/A
December 2010							 N/A

4d. Please record the total number of reimbursable lunches served and the total number of operating days in the School Year 2010-2011.

NOTE: Please only complete this table if you have the yearly totals. If you must add up monthly counts to obtain the total, you may leave this section blank.

School Year 2010 - 2011		Number of Reimbursable Lunches Served				Number of Operating Days
	Not Available	Free	Reduced-Price	Paid	Total
School Year 2010-2011 Total							 N/A

5a. For all schools in your LEA, please record the number of breakfasts served under the School Breakfast Program (SBP) for the months of October, November, and December in 2011.

SY 2011-2012: School Breakfast Program (SBP)

Months		Number of Reimbursable Breakfasts Served
	Not Available	Free	Reduced-Price	Paid	Total
October 2011	
November 2011	
December 2011	

5b. Please record the total number of reimbursable breakfasts served in the School Year 2011-2012.
NOTE: Please only complete this table if you have the yearly totals. If you must add up monthly counts to obtain the total, you may leave this section blank.

School Year 2011 – 2012		Number of Reimbursable Breakfasts Served
	Not Available	Free	Reduced-Price	Paid	Total
School Year 2011-2012 Total	

5c. For all schools in your LEA, please record the number of lunches served under the National School Lunch Program (NSLP) and the number of operating days for the months of October, November, and December in 2011. If data for number of operating days is not available, check “N/A” box.

SY 2011-2012: National School Lunch Program (NSLP)

Months		Number of Reimbursable Lunches Served				Number of Operating Days
	Not Available	Free	Reduced-Price	Paid	Total
October 2011							 N/A
November 2011							 N/A
December 2011							 N/A

5d. Please record the total number of reimbursable lunches served and the total number of operating days in School Year 2011-2012.

NOTE: Please only complete this table if you have the yearly totals. If you must add up monthly counts to obtain the total, you may leave this section blank.

School Year 2011 – 2012		Number of Reimbursable Lunches Served				Number of Operating Days
	Not Available	Free	Reduced-Price	Paid	Total
School Year 2011-2012 Total							 N/A

6a. For all schools in your LEA, please record the number of breakfasts served under the School Breakfast Program (SBP) for the months of October, November, and December in 2012.

SY 2012-2013: School Breakfast Program (SBP)

Months		Number of Reimbursable Breakfasts Served
	Not Available	Free	Reduced-Price	Paid	Total
October 2012	
November 2012	
December 2012	

6b. For all schools in your LEA, please record the number of lunches served under the National School Lunch Program (NSLP) and the number of operating days for the months of October, November, and December in 2012. If data for number of operating days is not available, check “N/A” box.

SY 2012-2013: National School Lunch Program (NSLP)

Months		Number of Reimbursable Lunches Served				Number of Operating Days
	Not Available	Free	Reduced-Price	Paid	Total
October 2012							 N/A
November 2012							 N/A
December 2012							 N/A

ENROLLMENT AND AVERAGE DAILY ATTENDANCE

7. Next, please provide information on total student enrollment and average daily student attendance in your LEA. For each of the three school years beginning with 2010-2011, as indicated in the table below, please enter the student enrollment, as of October 31^st of each school year for your LEA. If you are unable to provide the enrollment as of October 31^st for a given school year, please provide enrollment as of the closest available date, and specify the date.

Then record the average daily student attendance for your LEA for the months of October, November, and December for each school year.

Please check “N/A” box for any information not available for a given time period.

ENROLLMENT AND AVERAGE DAILY ATTENDANCE	SY 2010-11	SY 2011-12	SY 2012-13
Enrollment	 N/A	 N/A	 N/A
	Is this as of Oct 31st? □ Yes □ No ↓ If no, specify date: |__|__| / |__|__| M M D D	Is this as of Oct 31st? □ Yes □ No ↓ If no, specify date: |__|__| / |__|__| M M D D	Is this as of Oct 31st? □ Yes □ No ↓ If no, specify date: |__|__| / |__|__| M M D D
Average Daily Student Attendance for:
October	 N/A	 N/A	 N/A
November	 N/A	 N/A	 N/A
December	 N/A	 N/A	 N/A
School Year – average for all months (August/September through May/June)	 N/A	 N/A

REVENUES

Now, we’d like to collect some revenue data on foodservice operations in your LEA, starting with School Year 2010-2011. “Local funds” include transfers from other LEA accounts to the school foodservice account.

SCHOOL YEAR 2010-2011

8a. For School Year 2010-2011, did the foodservice operations in your LEA generate any of the following revenue? (Please provide a response for each revenue category.)

	Yes	No	Don’t know
Federal payment from Afterschool Snack Program	□	□	□
Other federal payment aside from NSLP lunches and SBP breakfasts (Fresh Fruit and Vegetable Program, Child and Adult Care Food Program, equipment grants, etc.)	□	□	□
Value of commodities received	□	□	□
State payments	□	□	□
Local funds (any funds transferred from other local account to school foodservice other than payment for catering)	□	□	□
Student payment for reimbursable meals	□	□	□
Non-reimbursable foods (competitive foods, a la carte, vending machines, adult meals, etc.)	□	□	□
Other revenue from local sources not listed above (such as catering, special events, returned check fees, interest etc.) Note: this does not include Federal or State payments	□	□	□

8b. [If Other revenue=Yes in 8a, ask] Specify sources of other revenue (Check all that apply):

□ Catering

□ Special events

□ Returned check fees

□ Interest

□ Other (specify): __________________________________________________________________________________

PN: 8c will display: NSLP, SBP and all categories with a “yes” response in 8a, (EXCEPT “…Afterschool Snack Program” and “Other revenue…”). If yes in 8a to Afterschool Snack, then display “(including Afterschool snacks reimbursed through NSLP)” in first row.

8c. Are you able to report the following revenue separately for each revenue category listed below for School Year 2010-2011?
Yes No Don’t know

NSLP (including afterschool snacks reimbursed through NSLP)	□	□	□
SBP	□	□	□
CATEGORY WITH YES RESPONSE IN 8A	□	□	□

8d. What were the prices for the most common type of school breakfast and lunch in School Year 2010-2011? Please report the reduced and full (paid) prices for each type of school in your LEA.

	Elementary	Middle	High
School Breakfast – Reduced Price	$___________ □ Don’t know	$___________ □ Don’t know	$___________ □ Don’t know
School Breakfast – Full (Paid) Price	$___________ □ Don’t know	$___________ □ Don’t know	$___________ □ Don’t know
School Lunch – Reduced Price	$___________ □ Don’t know	$___________ □ Don’t know	$___________ □ Don’t know
School Lunch – Full (Paid) Price	$___________ □ Don’t know	$___________ □ Don’t know	$___________ □ Don’t know

PROGRAMMING NOTES FOR REVENUE TABLE

PN: The revenue categories displayed in revenue table for School Year 2010-2011 will depend on the answers 8a and 8c.

If NSLP or SBP can be reported separately (8c) that category will appear separately in the Revenue table. If NSLP or SBP cannot be reported separately that category will appear as part of the “combined federal payments” category.

If 8a =yes for Afterschool, display, “NSLP (including after school snack reimbursed through NSLP)” In row A, else, display “NSLP” in row A.

The remaining revenue categories (8a) with a yes response in 8a will be displayed in the table. If a category generates revenue but cannot (or don’t know if it can) be reported separately (8c), this revenue category will not be displayed in the table, but a message to include it in “J. Other revenue” will appear.

PN: REVENUE TABLE (8e)- In column 2 if “Report Total” selected, monthly data entry fields will be grayed out and not allowed; if “Report monthly” selected Total Revenue data entry field will be grayed out and not allowed; if “Not available” selected, both total revenue and monthly data field will be grayed out and not allowed. If not available selected in last column, data entry field for Entire School Year will be grayed out and not allowed.

8e. REVENUE: SCHOOL YEAR 2010-2011: For each revenue category listed in Column 1, indicate how you prefer to report revenue for first half of year in Column 2. Proceed to report revenue for first half of year, either total or monthly, if available. Then report the amount of revenue for the entire school year in far right column, if available. Enter only whole dollars with no cents, commas or $ sign.

Revenue Category	Revenue for First Half of School Year (Aug 2010-Dec 2010)							Entire School Year (Aug 2010-Jun 2011)
	Report for First Half of SY (select one)	Total Revenue (Aug 10- Dec 10)	Monthly Revenue
			Aug 10	Sep 10	Oct 10	Nov 10	Dec 10
NSLP (including afterschool snacks reimbursed through NSLP)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
SBP	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
Other federal payments (including Fresh Fruit and Vegetable Program, Child and Adult Care Feeding Program, etc.)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
Combined federal payments PN: message about what to include will depend on what federal payment categories cannot be reported separately in Q8c	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
Value of commodities received	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
State payments	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
G. Local funds (any funds transferred from other local account to school foodservice other than payment for catering)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
H. Student payment for reimbursable meals	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
I. Non-reimbursable foods (competitive foods, a la carte, vending machines, adult meals, etc.)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
J. Other Revenue PN: List responses from 8b and revenue categories that cannot be reported separately (8c)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available

SCHOOL YEAR 2011-2012

9a. For School Year 2011-2012, did the foodservice operations in your LEA generate any of the following revenue? (Please provide a response for each revenue category.)

	Yes	No	Don’t know
Federal payment from Afterschool Snack Program	□	□	□
Other federal payment aside from NSLP lunches and SBP breakfasts (Fresh Fruit and Vegetable Program, Child and Adult Care Food Program, equipment grants, etc.)	□	□	□
Value of commodities received	□	□	□
State payments	□	□	□
Local funds (any funds transferred from other local account to school foodservice other than payment for catering)	□	□	□
Student Payment for reimbursable meals	□	□	□
Non-reimbursable foods (competitive foods, a la carte, vending machines, adult meals, etc.)	□	□	□
Other revenue from local sources not listed above (such as catering, special events, returned check fee, interest, etc.) Note: this does not include Federal or State payments	□	□	□

9b. [If Other revenue=Yes in 9a, ask] Specify sources of other revenue (Check all that apply):

□ Catering

□ Special events

□ Returned check fees

□ Interest

□ Other (specify): __________________________________________________________________

PN: 9c will display: NSLP, SBP and all categories with a “yes” response in 9a, (EXCEPT “…Afterschool Snack Program” and “Other revenue…”). If yes in 9a to Afterschool Snack, then display “(including Afterschool snack reimbursed through NSLP)” in first row.

9c. Are you able to report the following revenue separately for each revenue category listed below for School Year 2011-2012?

Yes No Don’t know

NSLP (including afterschool snacks reimbursed through NSLP)	□	□	□
SBP	□	□	□
CATEGORY WITH YES RESPONSE IN 9A	□	□	□

9d. What were the prices for the most common type of school breakfast and lunch in School Year 2011-2012? Please report the reduced and full (paid) prices for each type of school in your LEA.

	Elementary	Middle	High
School Breakfast – Reduced Price	$___________ □ Don’t know	$___________ □ Don’t know	$___________ □ Don’t know
School Breakfast – Full (Paid) Price	$___________ □ Don’t know	$___________ □ Don’t know	$___________ □ Don’t know
School Lunch – Reduced Price	$___________ □ Don’t know	$___________ □ Don’t know	$___________ □ Don’t know
School Lunch – Full (Paid) Price	$___________ □ Don’t know	$___________ □ Don’t know	$___________ □ Don’t know

PROGRAMMING NOTES FOR REVENUE TABLE

PN: The revenue categories displayed in revenue table for School Year 2011-2012 will depend on the answers 9a and 9c.

If NSLP or SBP can be reported separately (9c) that category will appear separately in the Revenue table. If NSLP or SBP cannot be reported separately that category will appear as part of the “combined federal payments” category.

If 9a =yes for Afterschool, display, “NSLP (including after school snack reimbursed through NSLP)” In row A, else, display “NSLP” in row A.

The remaining revenue categories (9a) with a yes response in 9a will be displayed in the table. If a category generates revenue but cannot (or don’t know if it can) be reported separately (9c), this revenue category will not be displayed in the table, but a message to include it in “J. Other revenue” will appear.

PN: REVENUE TABLE (9e)- In column 2 if “Report Total” selected, monthly data entry fields will be grayed out and not allowed; if “Report monthly” selected Total Revenue data entry field will be grayed out and not allowed; if “Not available” selected, both total revenue and monthly data field will be grayed out and not allowed. If not available selected in last column, data entry field for Entire School Year will be grayed out and not allowed.

9e. REVENUE: SCHOOL YEAR 2011-2012: For each revenue category listed in Column 1, indicate how you prefer to report revenue for first half of year in Column 2. Proceed to report revenue for first half of year, either total or monthly, if available. Then report the amount of revenue for the entire school year in far right column, if available. Enter only whole dollars with no cents, commas or $ sign.

Revenue Category	Revenue for First Half of School Year (Aug 2011-Dec 2011)							Entire School Year (Aug 2011-Jun 2012)
	Report for First Half of SY (select one)	Total Revenue (Aug 11- Dec 11)	Monthly Revenue
			Aug 11	Sep 11	Oct 11	Nov 11	Dec 11
NSLP (including after school snack reimbursed through NSLP)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
SBP	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
Other federal payments (including Fresh Fruit and Vegetable Program, Child and Adult Care Feeding Program, etc.)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
Combined federal payments PN: message about what to include will depend on what federal payment categories cannot be reported separately in Q9c	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
Value of commodities received	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
State payments	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
G. Local funds (any funds transferred from other local account to school foodservice other than payment for catering)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
H. Student payment for reimbursable meals	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
I. Non-reimbursable foods (competitive foods, a la carte, vending machines, adult meals, etc.)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available
J. Other Revenue PN: List responses from 9b and revenue categories that cannot be reported separately (9c)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______	__________	○ Not Available

SCHOOL YEAR 2012-2013

10a. For School Year 2012-2013, has the foodservice operations in your LEA generated any of the following revenue? (Please provide a response for each revenue category.)

	Yes	No	Don’t know
Federal payment from Afterschool Snack Program
Other federal payment aside from NSLP lunches and SBP breakfasts (Fresh Fruit and Vegetable Program, Child and Adult Care Food Program, equipment grants, etc.)	□	□	□
Value of commodities received	□	□	□
State payments	□	□	□
Local funds (any funds transferred from other local account to school foodservice other than payment for catering)	□	□	□
Student payment for reimbursable meals	□	□	□
Non-reimbursable foods (competitive foods, a la carte, vending machines, adult meals, etc.)	□	□	□
Other revenue from local sources not listed above (such as catering, special events, returned check fee, interest, etc.) Note: this does not include Federal or State payments	□	□	□

10b. [If Other revenue=Yes in 10a, ask] Specify sources of other revenue (Check all that apply):

□ Catering

□ Special events

□ Returned check fees

□ Interest

□ Other (specify): _______________________________________________________________

PN: 10c will display: NSLP, SBP and all categories with a “yes” response in 10a, (EXCEPT “…Afterschool Snack Program” and “Other revenue…”). If yes in 10a to Afterschool Snack, then display “(including Afterschool snacks reimbursed through NSLP)” in first row.

10c. Are you able to report the following revenue separately for each revenue category listed below for School Year 2012-2013?

Yes No Don’t know

NSLP (including afterschool snacks reimbursed through NSLP)	□	□	□
SBP	□	□	□
CATEGORY WITH YES RESPONSE IN 10A	□	□	□

10d. What are the prices for the most common type of school breakfast and lunch in School Year 2012-2013? Please report the reduced and full (paid) prices for each type of school in your LEA.

	Elementary	Middle	High
School Breakfast – Reduced Price	$___________ □ Don’t know	$___________ □ Don’t know	$___________ □ Don’t know
School Breakfast – Full (Paid) Price	$___________ □ Don’t know	$___________ □ Don’t know	$___________ □ Don’t know
School Lunch – Reduced Price	$___________ □ Don’t know	$___________ □ Don’t know	$___________ □ Don’t know
School Lunch – Full (Paid) Price	$___________ □ Don’t know	$___________ □ Don’t know	$___________ □ Don’t know

PROGRAMMING NOTES FOR REVENUE TABLE

PN: The revenue categories displayed in revenue table for School Year 2012-2013 will depend on the answers 10a and 10c.

If NSLP or SBP can be reported separately (10c) that category will appear separately in the Revenue table. If NSLP or SBP cannot be reported separately that category will appear as part of the “combined federal payments” category.

If 10a =yes for Afterschool, display, “NSLP (including after school snack reimbursed through NSLP)” In row A, else, display “NSLP” in row A.

The remaining revenue categories (10a) with a yes response in 10a will be displayed in the table. If a category generates revenue but cannot (or don’t know if it can) be reported separately (10c), this revenue category will not be displayed in the table, but a message to include it in “J. Other revenue” will appear.

PN: REVENUE TABLE (10e)- In column 2 if “Report Total” selected, monthly data entry fields will be grayed out and not allowed; if “Report monthly” selected Total Revenue data entry field will be grayed out and not allowed; if “Not available” selected, both total revenue and monthly data field will be grayed out and not allowed. If not available selected in last column, data entry field for Entire School Year will be grayed out and not allowed.

10e. REVENUE: SCHOOL YEAR 2012-2013: For each revenue category listed in Column 1, indicate how you prefer to report revenue for first half of year in Column 2. Proceed to report revenue for first half of year, either total or monthly, if available. Enter only whole dollars with no cents, commas or $ sign.

Revenue Category	Revenue for First Half of School Year (Aug 2012-Dec 2012)
	Report for First Half of SY (select one)	Total Revenue (Aug 12- Dec 12)	Monthly Revenue
			Aug 12	Sep 12	Oct 12	Nov 12	Dec 12
NSLP (including after school snack reimbursed through NSLP)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______
SBP	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______
Other federal payments (including Fresh Fruit and Vegetable Program, Child and Adult Care Feeding Program, etc.)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______
Combined federal payments PN: message about what to include will depend on what federal payment categories cannot be reported separately in Q10c	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______
Value of commodities received	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______
State payments	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______
G. Local funds (any funds transferred from other local account to school foodservice other than payment for catering)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______
H. Student payment for reimbursable meals	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______
I. Non-reimbursable foods (competitive foods, a la carte, vending machines, adult meals, etc.)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______
J. Other Revenue PN: List responses from 10b and revenue categories that cannot be reported separately (10c)	○ Not available ○ Report total ○ Report monthly	__________	_______	_______	_______	_______	_______

PARTICIPATION—BREAKFAST

11. Has the average daily participation in the school breakfast program operated by your LEA increased, decreased, or stayed the same over the past two years (since January 2011)? Average daily participation means the average number of meals claimed per day. (Select one)

□ Average daily participation in school breakfast has increased (go to 11a)

□ Average daily participation in school breakfast has decreased (go to 11c)

□ Average daily participation in school breakfast has stayed the same (go to 12)

□ Don’t know (go to 12)

11a. Which of the following was the biggest factor for the increase in average daily participation in school breakfast? (Select one)

□ More schools offering school breakfast

□ An increase in student enrollment

□ An increase in the percentage of students participating in SBP

□ An increase in the number of breakfasts per week taken by participating students

□ Don’t know

11b. In general, which type of school experienced the greatest increase in average daily participation in the SBP? (Select one)

□ Elementary school (go to 12)
□ Middle school (go to 12)
□ High school (go to 12)
□ No difference by school type (go to 12)
□ Don’t know (go to 12)

11c. Which of the following was the biggest factor for the decrease in average daily participation in school breakfast? (Select one)

□ Fewer schools offering school breakfast

□ A decrease in student enrollment
□ A decrease in the percentage of students participating in SBP
□ A decrease in the number of breakfasts per week taken by participating students
□ Don’t know

11d. In general, which type of school experienced the greatest decrease? (Select one)

□ Elementary school
□ Middle school
□ High school
□ No difference by school type
□ Don’t know

PARTICIPATION—LUNCH

12. In your opinion has average daily participation in school lunch increased, deceased, or stayed the same over the past two years (since January 2011)? (Select one)

□ Average daily participation in school lunch has increased (go to 12a)

□ Average daily participation in school lunch has decreased (go to 12c)

□ Average daily participation in school lunch has stayed the same (go to 13)

□ Don’t know (go to13)

12a. Which of the following was the biggest factor for the increase in average daily participation in school lunch? (Select one)

□ An increase in student enrollment

□ An increase in the percentage of students participating in NSLP

□ An increase in the number of lunches per week taken by participating students

□ Don’t know

12b. In general, which type of school experienced the greatest increase? (Select one)

□ Elementary school (go to 13)

□ Middle school (go to 13)

□ High school (go to 13)

□ No difference by school type (go to 13)

□ Don’t know (go to 13)

12c. Which of the following was the biggest factor for the decrease in average daily participation in school lunch? (Select one)

□ A decrease in student enrollment

□ A decrease in the percentage of students participating in NSLP

□ A decrease in the number of lunches per week taken by participating students

□ Don’t know

12d. In general, which type of school experienced the greatest decrease? (Select one)

□ Elementary school

□ Middle school

□ High school

□ No difference by school type

□ Don’t know

CHANGES IN FOOD, LABOR & COST—BREAKFAST

Below we ask questions are about the per meal food and labor costs of the School Breakfast Program—that is, the total cost divided by the number of meals. There are also questions about the quality and variety of food served at breakfast. Please answer considering the averages across all schools in your LEA.

13. Over the last two years, has your LEA’s labor cost per breakfast increased, decreased, or stayed the same?

□ Increased
□ Decreased
□ Stayed the same
□ Don’t know

14. Over the last two years, has your LEA’s food cost per breakfast increased, decreased, or stayed the same?

□ Increased
□ Decreased
□ Stayed the same
□ Don’t know

15. Over the last two years, has the quality of food (food that is fresher and/or more nutritious) served at breakfast increased, decreased, or stayed the same?

□ Increased
□ Decreased
□ Stayed the same
□ Don’t know

16. Over the last two years, has the variety of food served at breakfast increased, decreased, or stayed the same?

□ Increased
□ Decreased
□ Stayed the same
□ Don’t know

CHANGES IN FOOD, LABOR & COST—LUNCH

Below, we ask questions about the per meal food and labor costs of the National School Lunch Program - that is, the total cost divided by the number of meals. There are also questions about the quality and variety of food served at lunch. Please answer considering the averages across all schools in your LEA.

17. Over the last two years, has your LEA’s labor cost per lunch increased, decreased, or stayed the same?

□ Increased

□ Decreased

□ Stayed the same

□ Don’t know

18. Over the last two years, has your LEA’s food cost per lunch increased, decreased, or stayed the same?

□ Increased

□ Decreased

□ Stayed the same

□ Don’t know

19. Over the last two years, has the quality of food (food that is fresher and/or more nutritious) served at lunch increased, decreased, or stayed the same?

□ Increased

□ Decreased

□ Stayed the same

□ Don’t know

20. Over the last two years, has the variety of food served at lunch increased, decreased, or stayed the same?

□ Increased

□ Decreased

□ Stayed the same

□ Don’t know

21. Over the last two years, has the average pay per hour for cafeteria workers increased, decreased, or stayed the same?

□ Increased

□ Decreased

□ Stayed the same

□ Don’t know

That completes the survey. Thank you so much for taking the time to participate. Your input is very valuable. If you have any questions about this survey or this evaluation, please contact Abt at: 855-759-5752 or at CommunityEligibility@abtassoc.com.

THANK YOU!

PEAR Survey of LEA Foodservice Directors (Full Version) 2