Easyside + 4DWN Food Survey
This anonymous survey helps Easyside and 4DWN better serve artists and neighbors. We are partnering together to distribute meals-to-go at several events this Fall (2023). Your response helps us better tailor this program to provide the most convenient, nutritious, and satisfying food!
Sign in to Google to save your progress. Learn more
What is your zip code
 *
Age
 *
Gender
 *
Ethnicity
 *
Required
Do you describe yourself as either of the following?
 *
Required
Who do you primarily prepare meals for?
 *
How often do you eat at home?
 *
Of the following, which is the primary barrier for eating healthier meals?
 *
Have you had to skip a meal in the past month?
 *
If you answered yes to the above question, what was the primary reason?
 *
Do you have any dietary restrictions?
 *
Required
Any final comments or concerns?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Easyside. Report Abuse
Google Forms