Last Name / Apelledo ( ah - peh - yee - doh) / 姓 ( szing )
Your answer
# Home Address / # Direccion de casa (dee - rehk - syohn de ka - sa ) / 家庭地址 ( Jaa - tíng dee - shgee ) *
Your answer
City / Ciudad ( syuu - dahd ) / 城市 ( cheung - shee ) *
Your answer
Zip Code / Codigo Postal ( koh - dee - goh pos - tahl ) / 邮政编码 ( yóo- jhèng biān - maa ) *
Your answer
How did you hear about So What Else?
Choose
Church
Community
Driving by
Family Member
Friend
Neighbor
School
So What Else Website
Social Media
Including yourself, how many people are there in your household? / Incluido usted mismo, ¿cuántas personas hay en su hogar? / 你家有多少人 *
Choose
1
2
3
4
5
6
7 +
Is this your first time picking up food from So What Else? / ¿Es la primera vez que recoge comida de So What Else? / 这是您第一次来我们这里取餐吗? *
How many children are in your household? / ¿Cuántos niños hay en su hogar?
Choose
0
1
2
3
4
5
6
7 +
Are you Hispanic, Latino or Spanish origin? / ¿Eres de origen hispano, latino o español?
Choose
No, not of Hispanic, Latino or Spanish Origin
Yes, Mexican
Yes, Salvadoran
Yes, Puerto Rican
Yes, other Hispanic, Latino or Spanish origin
Prefer not to say
If you answered *other Hispanic, Latino or Spanish origin, please specify country. / Si respondió *otro origen hispano, latino o español, especifique el país por favor.
Choose
None
Argentina
Belize
Bolivia
Brazil
Chile
Colombia
Costa Rica
Cuba
Dominican Republic
Ecuador
Guatemala
Guyana
Honduras
Nicaragua
Panama
Paraguay
Peru
Uruguay
Venezuela
What is your ethnicity? (Please select one option)
Choose
White
Black, African American
American Indian or Alaska native
Asian Indian
Japanese
Native Hawaiian
Chinese
Korean
Filipino
Vietnamese
Samoan
Other
Prefer not to say
If you answered *Other, please specify country.
Choose
None
Afghanistan
Algeria
Angola
Armenia
Austria
Azerbaijan
Bahrain
Bangladesh
Belgium
Botswana
Bulgaria
Cameroon
Canada
China
Cyprus
Czechia
Denmark
Djibouti
Egypt
Ethiopia
Finland
France
Georgia
Germany
Ghana
Greece
Guinea
Guinea-Bissau
Haiti
Hong Kong
Hungary
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jordan
Kazakhstan
Kenya
Kuwait
Lebanon
Liberia
Libya
Lithuania
Macao
Madagascar
Monaco
Morocco
Netherlands
Niger
Oman
Pakistan
Palestine
Poland
Portugal
Qatar
Romania
Russia
Saudia Arabia
Senegal
Singapore
Slovakia
South Africa
South Sudan
Sri Lanka
Sudan
Sweden
Switzerland
Syria
Tanzania
Thailand
Togo
Tuni
Tunisia
Uganda
Ukraine
United Arab Emirates
United Kingdom
Virgin Islands
Yemen
Zambia
Zimbabwe
Besides this food program, do you use any other services provided by So What Else? Please select all that apply /
Además de este programa de comida, ¿utiliza otros servicios proporcionados por So What Else?
Has So What Else's Emergency Hunger Relief Program increased your food security? / ¿El Programa de Alivio del Hambre de Emergencia de So What Else ha aumentado su seguridad alimentaria?
Clear selection
Has this program helped you save money? / ¿Le ha ayudado este programa a ahorrar dinero?
Clear selection
How were you able to use the money you saved on food to pay for other important expenses?
¿Cómo pudo usar el dinero que ahorró en alimentos para pagar otros gastos importantes?
When you pick up food from this program, do you distribute it to others? If so who do you distribute to? / Cuando recoge alimentos de este programa, ¿Los distribuye a otros? Si es así, ¿a quién distribuyes?
Clear selection
Does the food you receive from this program fit your dietary needs and cultural preferences? / ¿La comida que recibe de este programa se ajusta a sus necesidades dietéticas y preferencias culturales?
Clear selection
Are there any additional beverages, produce, or supplies that you would like to see distributed in this program? / ¿Hay bebidas, productos o suministros adicionales que le gustaría ver distribuidos en este programa?