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安順國小午餐調查-導師以外的用餐人員
本表單僅調查，非擔任導師的工作人員用餐方式。
請導師勿填報此表單！
(截止日至115/8/24
)
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姓名
*
Your answer
用餐葷素：
*
葷食
素食
不用餐
用餐地點(大行政辦公室或是其他班級，例如:101)
*
Your answer
每週用餐頻率：(五天都用餐，請全部勾選)
*
每週用餐五天
其他。請填寫下題。
星期幾【不用餐】，請勾選
1
2
3
4
5
備註：(若無可空白)
Your answer
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