Name of respondent: _____________________________________

Year level: ______________________________________________

Gender: ________________________________________________
Contact information: ______________________________________

Please mark a check on the small box for your answers.

1. How often do you visit the canteen? 6. Which among the following viand □ Agree
□ Once or twice a month would you suggest to be available at □ Neutral
□ Up to three times a week the canteen? You may mark as □ Disagree
□ More than three times a many as you can. □ Strongly Disagree
fdweek □ Chicken/pork adobo
□ Everyday □ Beef steak 11. With your choice in #9, which of the
□ Never □ Menudo following have you observed? You
If others, please specify. □ Afritada mark one or two.
_____________________ □ Fried chicken/pork chop □ No proper drainage system
□ Vegetables □ Their staff are not using hairnets.
2. When do you typically visit the □ Pa
canteen? 12. With your choice in #9, the products
□ Between 7 am to 9 am 7. How often would you want for a displayed in the canteen contain
□ Between 9 am to 11 am different menu? good nutritional value.
□ Between 11 am to 1 pm □ Everyday □ Strongly Agree
□ Between 1 pm to 3 pm □ Every other day □ Agree
□ Between 3 pm to 5 pm □ Every week □ Neutral
□ Disagree
3. What would usually be your reason 8. When you buy in the canteen, what □ Strongly Disagree
for choosing to eat in the canteen? type of food do you usually choose?
Mark one only. You may mark one or more. 13. With your choice in #9, the utensils
□ Limited time □ Soup and tools used in the canteen are
□ Cheaper price □ Main Course sanitized or clean.
□ Variety of menu □ Breakfast food □ Strongly Agree
□ Eat together with classmates □ Sandwich □ Agree
□ Vegetables □ Neutral
4. How much do you spend in a week □ Drinks □ Disagree
in the canteen? □ Junk food □ Strongly Disagree
□ 1-25 pesos □ Sweets and candies
□ 26-50 pesos 14. With your choice in #9, the
□ 51-75 pesos 9. Among the three canteens in Main ambiance in the canteen is good and
□ 76-100 pesos Campus II, where do you usually refreshing.
□ more than 100 pesos prefer to go? □ Strongly Agree
□ 1st canteen from CEA Bldg. □ Agree
5. Are you satisfied with the menu □ 2nd canteen from CEA Bldg. □ Neutral
provided in the canteen at Main □ 3rd canteen from CEA Bldg. □ Disagree
Campus II? □ Strongly Disagree
□ Yes 10. With your choice in #9, is their
□ No atmosphere welcoming?
□ Strongly Agree

With your choice in #9, please rate the following on a scale of 1 to 5 by encircling the number, with 1 being “poor”
and 5 being “excellent”.

How would you describe the variety of the food provided? 1 2 3 4 5

How would you rate the overall taste of the food? 1 2 3 4 5
How would you rate the reasonableness of the food’s serving sizes? 1 2 3 4 5
How would you rate the overall cleanliness of the canteen? 1 2 3 4 5

Please list 2-3 of some specific things about the school’s canteens that could be improved to better support
student’s needs.
1. ____________________________________________
2. ____________________________________________
3. ____________________________________________