Phyllis Starkey MP
Milton Keynes School Meals Survey 

I am committed to making sure the children of Milton Keynes are provided with good quality, healthy food in schools. Please take the time to fill in this survey so that I can identify what work needs to be done in Milton Keynes to keep our children healthy.

I have included two copies of the survey, so if you can tell me about more than one school, please do so.

Your Details
Name		………………………………………………….…

Privacy Information: 
There is no requirement for any personal details to be submitted along with your opinions on school meals. Any personal details submitted on this form will be held in confidence by the office of Dr. Phyllis Starkey and will not be passed on to any other groups or individuals. Personal information will only be used by Dr. Starkey to correspond with participants on the issue of school meals.

Address	………………………………………………….…
		……………………………………………………
Postcode	……………………………………………………

Telephone	……………………………………………………

E-mail 	……………………………………………………

Name of School	…………………………………………………..…………………..………

Does the school provide hot lunches?	Yes	No

How many times a week, on average, does your child have the following? 

Hot lunch at school 
	Packed lunch 
	Other (please specify)

…………………………
…………………………
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Cold lunch at school 
	Lunch at home 

PTO
Promoted by Kevin Wilson on behalf of Phyllis Starkey MP, printed by MK Labour Party all at 112 Newport Rd, New Bradwell Milton Keynes MK13 0AA 

Is there any reason that your child does not have a school meal? (tick all that apply) 

Too expensive 
	Not available
	Other (please specify)

…………………………
…………………………
…………………………	
Not high quality/healthy
	Meals do not meet dietary needs 		

If your child does eat a school meal, how happy are you and your child with 
the quality and healthiness of the meal? 

Very Happy 
	Happy
	No Opinion 
	
Unhappy
	Very Unhappy 

Does your child have any special dietary requirements?	Yes		No

If yes, does the school meet those dietary requirements?	Yes		No
(please write any details at the bottom of the page) 

Does the school offer a breakfast club or an evening meal?	Breakfast Club 
(tick all that apply, and please give details below) 			 

Details	…………………………………………………………………..…….………	      Evening Meal
	……………………………………………………………………………..…

If the school doesn't offer a breakfast club or evening meal, would you be interested in the school setting up a similar scheme?
(tick all that apply)						

Yes – Breakfast Club 		Yes – Evening Meal			No

If you have any other comments about school meals, please write them below:

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