Cafe Grant Survey

Please fill out this survey to provide us with valuable input on what this grant could be used for to help offer more healthy food and beverage offerings at our Springfield terminal. The Department of Health and Senior Services (DHSS), Bureau of Community Health and Wellness (CHW), and the Missouri State University (MSU) Nutrition and Dietetics Program is partnering with Driver Health & Fitness with a grant opportunity to enhance the availability of healthy food and beverage options within our worksite for the benefit of our drivers and associates.
1. Please read the following statements. Select the statement that best describes your current intake of 100 % juices and fresh, frozen and/or dried fruits and vegetables. A serving is a ½ cup or 1 medium piece of fresh and frozen fruits and vegetables, 6 oz of 100% juice and ¼ cup of dried fruits or vegetables.
2. Please read the following statements. Select the statement that best describes your current intake of low-fat foods.
3. Please read the following statements. Select the statement that best describes your current intake of whole-grain foods. The serving size for whole grains is 1 ounce (1 slice of bread, 1 ounce of cereal, ½ cup of cooked rice or pasta).
4. Please read the following statements. Select the statement that best describes your current intake of low-fat dairy products (or dairy alternatives) such as milk, yogurt, cheese, and fortified soy beverages.
5. Please read the following statements. Select the statement that best describes your current intake of non-fried protein foods, such as seafood, lean meats and poultry, eggs, legumes (beans and peas), nuts, seeds, and soy products, daily.
6. Please read the following statements. Select the statement that best describes your current intake of sodium including meals which have <= 800 mg of sodium, entrees containing <=600 mg of sodium, and side items which contain <=230 mg of sodium.
7. Please read the following statements. Select the statement that best describes your current intake of water, low-calorie beverages containing <= 40 calories per 8 fluid ounces, and low-fat milk and soy beverages with no added sugars.
8. Please read the following statements. Select the statement that best describes how often you use calorie and nutrition information when making your food and beverage choices.

On a scale of 1-5 with ‘1’ being a very low interest and ‘5’ being a very high interest rate your interest in the following nutrition options.

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Demographics

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