LCHD-Access to Fresh Food - IL Tell us your thoughts so we can improve fresh food options in your area.... We are listening. OK Question Title * 1. Which area describes best where you live? Russells Point Huntsville Lakeview Chippewa OK Question Title * 2. Do you grow any food? Yes No If yes, what do you grow? OK Question Title * 3. How many do you cook for on a typical day myself 2 people (including myself) 3 people (including myself) 4 or more OK Question Title * 4. Share your childhood memories, where did you live, what types of food did you eat, who fixed your food, did your family have a garden growing up? OK Question Title * 5. In the past 12 months, where has your household bought FRESH FRUITS AND VEGETABLES most often? grocery store farmers market dollar store convenience store / gas station Other (please specify) OK Question Title * 6. How far is that store from your home less than a mile less than 5 miles less than 10 miles more than 10 miles OK Question Title * 7. In the past 12 months, where has your household bought OTHER FOOD most often? grocery store farmers market dollar store convenience store / gas station Other (please specify) OK Question Title * 8. How far is that store from your home less than a mile less than 5 miles less than 10 miles more than 10 miles OK Question Title * 9. During the growing season, how many servings of fruits and vegetables do you eat per day that is grown in your yard, neighborhood, community garden or grown by family members? 0-1 2-3 4-5 6-7 8 or more 0-1 2-3 4-5 6-7 8 or more OK Question Title * 10. Over the past year, what types of transportation did you use the most to get food? My own car Public transportation Bike Senior bus Getting a ride with someone I know Taxi Walking OK Question Title * 11. Are you usually able to buy the food that you want to eat? Yes No OK Question Title * 12. List any fresh fruits or vegetables you would like to have but don't get? OK Question Title * 13. Why do you not get those foods? Can't find Too expensive Too far to get there Don't have a way to get there The store is in a bad neighborhood I would have to cross a busy road (too dangerous) Other (please specify) OK Question Title * 14. In the past 12 months, check which of these you or someone in your household used to get food? Food Pantry Free or reduced school meals Friends/family/neighbors bought for me Dumpster diving/scavenging Free meal site Hunting/fishing Garden (yours or someone else's) Farmers market or farm stand WIC SNAP other OK Question Title * 15. What is most important when choosing your food? lowest price best quality locally grown if I have coupons what my family will eat easiest to make what I can get close to home organic or healthiest Other (please specify) OK Question Title * 16. What kind of cooking do you mostly do? ready meals - frozen or microwaveable Boxed meals ready to put together make my own meals Other (please specify) OK Question Title * 17. My friends in the neighborhood are a part of my everyday activities. Strongly Disagree Disagree Not Sure Agree Strongly Agree Strongly Disagree Disagree Not Sure Agree Strongly Agree OK Question Title * 18. People here know they can get help from others in the neighborhood if they are in trouble. Strongly Disagree Disagree Not Sure Agree Strongly Agree Strongly Disagree Disagree Not Sure Agree Strongly Agree OK Question Title * 19. I have no friend in the neighborhood that I can depend on if I needed it. Strongly Disagree Disagree Not Sure Agree Strongly Agree Strongly Disagree Disagree Not Sure Agree Strongly Agree OK Question Title * 20. Has a doctor or health professional ever told you that you or any members of your household have any of the following? (check all that apply.) high blood pressure pre-diabetes gout high cholesterol type 2 diabetes cancer Other (please specify) OK Question Title * 21. Do you have any wishes for how you would like your children to eat? OK Question Title * 22. Is there anything you would like to change about how your children eat? OK Question Title * 23. Are there any cooking or gardening skills you would like your children to learn? OK Question Title * 24. What do you like to serve your family? OK Question Title * 25. What do they refuse to eat that you wish they would eat? OK Question Title * 26. What appliances do you use? OK Question Title * 27. What appliances do you wish you had? OK Question Title * 28. Do you know of local community meals? yes no do not need OK Question Title * 29. Do you know of local food pantries? yes no do not need OK Question Title * 30. Do you know of the Logan County Farmers market in Bellefontaine? yes no OK Question Title * 31. Do you know of the Lakeview Farmers market? yes no OK Question Title * 32. Do you know about SNAP or WIC yes no do not need OK Question Title * 33. Which of these would you be interested in? (check any that apply) community gardens (where you can have your own garden space) personal garden container gardening (having a few containers to grow a few vegetables) farmers market virtual market (order online from local farmers and pick up at a nearby drop point) farm market truck (transport farm produce to customers or health centers) more produce at the nearby grocery store rides to get groceries Other (please specify) OK Question Title * 34. If you would like a farmers market or pick up point, how many miles would you drive to get there? OK Question Title * 35. Is there a good central place to hold a farmers market in the Indian Lake area? OK Question Title * 36. Your gender female male transgender or other do not care to answer OK Question Title * 37. Are you Hispanic or Latino descent? yes no do not care to answer OK Question Title * 38. How would you describe your race? White / Caucasian Black / African American Asian American Indian / Alaskan Native Native Hawaiian / Other Pacific Islander Two or more races do not care to answer Other or if you selected two or more (please specify) OK Question Title * 39. Is English the primary language spoken in your home? yes no If no, what is the primary language spoken? OK Question Title * 40. What is your age? 14-20 21-30 31-40 41-50 51-60 61-70 71-80 81 or above OK Question Title * 41. What is the age of other adults in the household? 19-30 31-40 41-50 51-60 61-70 71-80 81 or above OK Question Title * 42. How old are the children you are responsible for? 0-5 6-11 12-18 OK Question Title * 43. If you receive SNAP, how much did you receive last month OK Question Title * 44. Would you like to be notified about any new options such as community gardens or farmers markets that start in your area. yes no OK Question Title * 45. If yes, please provide the best way to notify you. Name Phone number to text Email Address Phone Number to call OK Question Title * 46. Which range best matches your yearly household income. less than $10,000 $10,001 - $22,000 $22,001 - $30,000 $30,001 - $38,000 $38,001 - $46,000 $46,001 - $53,000 $53,001 - $61,000 $61,001 or more don't care to answer OK NEXT