Give and Take impact survey
In order to continue to support local food security, we want to know how we did with the Give & Take program in 2022. Please tell us how it impacted you and let us know how to improve! We will keep your information confidential and your responses will be used in aggregate only to demonstrate impact and improve programming. Please contact Dr. Catherine Sanders, catherine@exop.org, if you have any questions or concerns about the survey or how it will be used.
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Email *
What town do you live in?
In what town(s) did you visit a drop off site?
In what ways have you participated in the drop off locations/Grow a Row project? Check all that apply *
Required
How many times did you visit the table this season? *
If you dropped off fresh produce or pledged, approximately how many pounds of fresh food did you drop off? (Leave blank if it doesn't apply to you)
If you picked up fresh produce, approximately how many pounds of fresh food did you bring home to consume? (Leave blank if it doesn't apply to you)
If you brought fresh produce home, how did you use it? (Leave blank if not applicable)
Clear selection
If you brought fresh produce home, tell us what difference if any fresh produce made?
In general, you/your family... *
Never
Sometimes
Usually / Always
Had to choose between quality food and other household needs BEFORE coronavirus
Have had to choose between quality food and other household needs SINCE coronavirus
Has the drop off site in your town affected your food needs? *
Please provide details if you answered with one of the "yes" responses above
Has the drop off site in your town affected other aspects of your wellbeing, e.g. mental health, social life, or connection to place? If so explain below (or write "NA"  for 'not applicable' in the space below) *
Please comment on how we can improve the program and/or whether it should continue
Optional personal information
Please provide us some demographic info below. Your information will be used to improve programming and demonstrate impact only, and your responses will not be connected to your personal information or shared outside of the campaign.
Gender identity
Clear selection
Ethnic identity (if not important to you or you prefer not to say, please write "NA")
Disability
Clear selection
Veteran status
Clear selection
How many people are in your household?
About what was your household's average annual income over the past 5 years (not including 2020)?
Clear selection
About what do you predict your income will be in 2021?
Clear selection
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