Farmers' Market EBT Project: EBT-Accessible Markets Survey

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1. Please tell us a bit about yourself in the case we need to follow-up.

Please tell us a bit about yourself in the case we need to follow-up. Name:
Association:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

2. Please list the physical address(es) to your farmers' market(s). This is important as we are creating a comprehensive database with all the farmers' markets that accept EBT in the state. If the list is too long, please include a link to your website

Please list the physical address(es) to your farmers' market(s). This is important as we are creating a comprehensive database with all the farmers' markets that accept EBT in the state. If the list is too long, please include a link to your website Name:
Address:
Address 2:
City/Town:
ZIP:
Day:
Time:

3. Please list the physical address(es) to your farmers' market(s). This is important as we are creating a comprehensive database with all the farmers' markets that accept EBT in the state. If the list is too long, please include a link to your website

Please list the physical address(es) to your farmers' market(s). This is important as we are creating a comprehensive database with all the farmers' markets that accept EBT in the state. If the list is too long, please include a link to your website Name:
Address:
Address 2:
City/Town:
ZIP:
Day:
Time:

4. Please list the physical address(es) to your farmers' market(s). This is important as we are creating a comprehensive database with all the farmers' markets that accept EBT in the state. If the list is too long, please include a link to your website

Please list the physical address(es) to your farmers' market(s). This is important as we are creating a comprehensive database with all the farmers' markets that accept EBT in the state. If the list is too long, please include a link to your website Name:
Address:
Address 2:
City/Town:
ZIP:
Day:
Time:

5. Please include your website here.

Please include your website here.

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6. How many farmers' markets do you operate?

How many farmers' markets do you operate?

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7. Through out an entire year, how many specialty crop* producers do you serve at your farmers' market(s)? *A specialty crop is defined as fruits and vegetables, tree nuts, dried fruits, horticulture, and nursery crops.

Through out an entire year, how many specialty crop* producers do you serve at your farmers' market(s)? *A specialty crop is defined as fruits and vegetables, tree nuts, dried fruits, horticulture, and nursery crops.

8. Which forms of payment do you accept?

Which forms of payment do you accept? EBT (CalFresh formerly known as Food Stamps)

WIC, FMNP

WIC, Checks

All of the above

Other (please specify)

9. Do you offer an EBT incentive program at your market(s)?

Do you offer an EBT incentive program at your market(s)? Yes

No

Some but not others

10. Anything else you want to tell us?

Anything else you want to tell us?

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Farmers' Market EBT Project: EBT-Accessible Markets
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