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Pratt Pantry Intake Form (return visitors)
Please complete this survey if you are a RETURNING visitor to the Pratt Pantry.
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Email
*
Your email
Please type your ID number
*
Your answer
Approximately when was your last visit to the Pratt Pantry?
*
Last week
Last month
Within this semester
Within this school year
Last school year
Has anything changed in your life that led you to return to the Pantry?
*
Decreased financial income from job
Decreased financial support from family
Decreased financial support from Pratt/loan provider
Additional financial burden for school supplies
Additional financial burden from family
Additional financial burden from social life/recreational activities
No time to shop for food
None of the above
Other:
Required
Anything else you would like us to know? (recommended food items, concerns or comments?)
*
Your answer
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