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Food Options Survey

Descriptive Blurb goes here.

Instructions:  Please complete the items below by selecting the most appropriate responses from the selection given.  When complete, please click on the "Submit" button at the bottom of the questionnaire.


1) Which of the following best describes you?  




Current foodservice use at Mount Sinai

2)  Are you AWARE of the following foodservice outlets at Mount Sinai Hospital?

Check all that apply.

3) How many times a WEEK do you use the following foodservice outlets at Mount Sinai Hospital? For less than once a week divide monthly usage by 4 i.e. once a month enter 0.25; for less than once a month enter 0.
Other foodservice use
4) Do you use OTHER foodservice outlets nearby (not in Mount Sinai Hospital)?


How much do you typically spend per WEEK for snacks, beverages and meals while at Mount Sinai Hospital using On-Campus and Off-Campus foodservice outlets?   (NOT including beverage alcohol)







Menu items you would purchase at Mount Sinai
6) What types of menu items or ethnic foods would you like to see and WOULD PURCHASE at Mount Sinai Hospital? Please check all that apply.
Foodservice experiences you would like at Mount Sinai

7)    What kind of foodservice experiences would you like to see AND WOULD PATRONIZE at Mount Sinai Hospital?

Check all that apply.

Foodservice service styles you would like at Mount Sinai

8)  What kind of foodservice service styles would you like to see AND WOULD PATRONIZE at Mount Sinai Hospital?

Check all that apply.

Retail services you would like at Mount Sinai

10)  What kind of retail services would you like to see AND WOULD PATRONIZE at Mount Sinai Hospital?

Check all that apply.