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Gender
 
Male
 
Female
 
 
 
What grade are you in?
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
 
 
Where do you get your lunch from?
 
From home
 
From school
 
I don't eat lunch
 
 
 
Why do you choose your lunch this way?
(Check all that apply)
 
I don't like the school lunch.
 
I don't have time to make my lunch.
 
Health issues.
 
I'm not hungry at lunch time.
 
I can't pay for school lunch.
 
There's not enough food.
 
Other (Please Specify)
 

 
 
 
How many meals do you eat a day?
 
0
 
1
 
2
 
3
 
4+
 
 
 
How often do you snack per day?
 
None
 
1-2 times
 
2-3 times
 
3-4 times
 
More than 5 times