So What Else Emergency Hunger Relief Program Client Survey
This form helps So What Else in measuring our impact on the community and supports the requirements for our grant programs. Your feedback is valuable to us. The form is confidential and for our use only. Thank you!
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At which distribution location are you currently taking this survey?
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Is this your first time participating in our distribution, or are you a returning client?
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First Name *
Last Name *
# Home Address *
City *
Zip Code *
What is your gender identity? (Please select one.)
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Please indicate how you identify yourself. 
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What is your age group? *
Which of the following categories best describes your current status? Please select all that apply.
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Required
Including yourself, how many individuals are there in your household?
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Number of children under the age of 18 living in your household? *
Please indicate your annual household income range.
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Are you or any member of your household currently eligible for or receiving benefits or assistance from any government or state programs? (Please select all that apply.)
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Required
How did you learn about So What Else's Emergency Hunger Relief Program? *
Before utilizing this program, did you and/or your family have trouble accessing healthy food regularly?
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Please rate your satisfaction with So What Else's Emergency Hunger Relief Program.
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Which of the following reasons are you visiting this distribution site today? (Please select all that apply.) *
Required
Do you and/or your family feel more food secure now that you have access to this program?
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How often do you utilize the food distribution services provided by this program?
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Does the quantity of food you receive meet your household’s needs?
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Do you feel that you and/or your family have experienced an increase in wellness as a result of participating in this program?
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How would you rate the variety and quality of food offered through this program?
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How easy is it for you to access the food distribution services provided by this program?
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What is the main reason you chose this distribution site for food assistance?  (Please select all that apply.)
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Required
How did you get to the food distribution site today? (Please select one.)
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What would improve your access to food? (Select all that apply.)
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Required
If you could change one thing about the food distribution services provided by this program, what would it be? Please provide your feedback. (optional)
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