My Plate Survey

Introduction

UMass Dining is conducting a health promotion for the 2011-2012 academic year. Please fill out the information below and fill out the survey each week to be eligible for the gift cards (details below). We ask you to complete the survey the same day every week to maintain consistency. Thank you for participating in the survey! Have a great semester!

Scroll down to complete the survey.

Terms and Conditions:

Participants must be on a meal plan to be eligible for prizes.
Surveys begin at the beginning of each semester. Students will record the amount of milk (or milk alternatives), yogurt, whole grains, and refined grains consumed, as well as the percentage of fruits and vegetables at one dinner meal each week.
To maintain consistency, please submit the survey the same day every week.
Students can only fill out the survey for that week until Saturday at 11:59 p.m.
Students are allowing UMass Dining to utilize group (not individual) data from this promotion for contest entries and disclosing results at conferences.
Each student who submits a survey on time in one week will be eligible for a drawing for a $50 gift card. If a student submits more than one survey per week, their name will only be entered one time.
Each student who submits a survey EVERY week from January 23 to April 28 is eligible for one of five $200 gift cards.
Students who come to nutrition promotions in the dining commons during the semester will get a chance for a second entry for the drawing that week. Details will be e-mailed and put on Facebook.

Survey:

General Information

Full Name(required)
UMass Email(valid email required)
Spire Number(required)
Year of Graduation
(e.g. 2013)(required)
Date of dinner meal you are reporting(required)
Do you agree with the aforementioned terms and conditions?
Like UMass Dining on Facebook

Please think about the most recent dinner meal you ate in the dining commons when answering the following questions.

Grains

How many servings of whole grains (brown rice, bulgur, whole wheat/grain pasta, whole wheat/grain bread, whole grain dessert, etc.) did you eat at this meal?
What is a serving? What is a whole grain?
Servings of
Whole Grains:(required)
How many servings of refined grains (white rice, white pasta, white bread, white pizza crust, regular grain-based dessert, etc.) did you eat at this meal?
What is a serving? What is a whole grain?
Servings of
Refined Grains:(required)

Milk & Yogurt

How many servings of fat-free or low-fat milk, Lactaid, dairy alternatives (soymilk, rice milk), and/or yogurt did you consume? (Note: Does not include chocolate milk or other cheese products)
What is a serving?
Servings of
Milk or Equivalents (required)

Fruits & Vegetables

Dish 1
Select dish used:(required)
What percent of this dish had FRUIT on it?
What percent of this dish had VEGETABLES on it?
Dish 2
Select dish used:(required)
What percent of this dish had FRUIT on it?
What percent of this dish had VEGETABLES on it?
Dish 3
Select dish used:(required)
What percent of this dish had FRUIT on it?
What percent of this dish had VEGETABLES on it?
Dish 4
Select dish used:(required)
What percent of this dish had FRUIT on it?
What percent of this dish had VEGETABLES on it?
Dish 5
Select dish used:(required)
What percent of this dish had FRUIT on it?
What percent of this dish had VEGETABLES on it?
Dish 6
Select dish used:(required)
What percent of this dish had FRUIT on it?
What percent of this dish had VEGETABLES on it?

Thanks

- Thank you for filling out the survey this week.
- Try to submit the weekly survey on the same day each week if possible.
- You only have until Saturday night (before 11:59 pm) to submit information for each week to be eligible for the $50 drawing.
- Be sure to enter once a week EVERY week from January 23 to April 28 to be eligible for one of five $200 gift cards.
This week’s quick tip: Fill half your plate with fruits and vegetables.

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