Q2 2023 Emergency Hunger Relief Program Client Survey Montgomery County
We value your feedback! This survey is anonymous, confidential, and strictly for our use only at So What Else. 4/01/23 - 6/30/23
Sign in to Google to save your progress. Learn more
First Name / Primer Nombre ( pree mehr  nom - breh ) / 名字 (minn suuh) *
Last Name / Apelledo ( ah - peh yee doh) / 姓 ( szing )
# Home Address / # Direccion de casa (dee rehk - syohn  de  ka - sa ) / 家庭地址 ( Jaa - tíng dee - shgee ) *
City / Ciudad ( syuu dahd ) / 城市 ( cheung - shee ) *
Zip Code / Codigo Postal ( koh dee goh   pos - tahl ) / 
邮政编码 ( yóo- jhèng biān - maa )
*
How did you hear about So What Else?
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 *
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?
Are you Hispanic, Latino or Spanish origin?  / ¿Eres de origen hispano, latino o español?
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.
What is your ethnicity? (Please select one option)
If you answered *Other, please specify country.
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?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy