with national requirements. Coding all drinking fountains
outside the cafeteria as not meeting the requirement
was conservative; fountains immediately adjacent to the
foodservice area that are accessible to all students during the
lunch period could be sufficient,10,21 but this level of detail
was not consistently available from open-ended responses.
Finally, as noted, the specific survey items used here were not
validated and the subjective nature of respondent-reported
data limits the ability to draw conclusions about actual
cleanliness of drinking fountains and water-quality issues.