1. If Balsz had a food distribution site in the community how often would you participate? (Si Balsz tuviera un local de distribucion de alimentos, con cuanta frecuencia participaria usted?) *
2. If you would participate in the community food distribution, what foods would you most need? (Si usted participara en la distribucion de alimentos para la comunidad, cuales alimentos se necesitarian mas?) *
Required
Other (Please list)/Otros (por favor, indique)
Your answer
3. Is there a grocery store in your neighborhood that you can get to easily? (Hay alguna tienda de abarrotes en su comunidad a la que pueda ir facilmente?) *
If no, please list the reason? (No, indique la razon?)
Your answer
4. What school(s) does your child (children) attend? (A que escuela asiste su hijo?) *
Required
A copy of your responses will be emailed to the address you provided.