Co-op Questionnaire Survey

1. FoCuS Community Supported Co-op Questionnaire

1. Full Name

Full Name

2. Email address

Email address

3. Do you currently belong to a CSA?

Do you currently belong to a CSA? yes

4. Are you interested in getting locally grown and prepared, value-added foods, from a worker-owned and operated kitchen?

Are you interested in getting locally grown and prepared, value-added foods, from a worker-owned and operated kitchen? yes

5. Check products you may be interested in purchasing:

Check products you may be interested in purchasing: organic whole grain sprouted sourdough bread herbal naturally fermented beverages chicken/beef stock (made with local organic free-range/grass fed animals and organic local vegetables) sauerkraut raw organic cheeses	soups and prepared foods (stew, etc.) condiments (mustard, mayonaise, ketchup, chutney) USDA grass fed/free range organic meats Bee products
Other (please specify)

6. Are you interested in joining and working in a worker-owned cooperative? If yes, check the following:

Are you interested in joining and working in a worker-owned cooperative? If yes, check the following: Biodiesel Alternative Bee Hive manufacturing Community supported Kitchen Seed Saving Herbal cooperative (dried, tinctures, salves, soaps)	Community Supported Brewery Community Supported Bakery Fruit Tree Gleaning/pruning Aquaculture Mushroom cultivation
Other (please specify)

7. Are you willing to support through financial contributions any of the following:

Are you willing to support through financial contributions any of the following: community center seed bank incubator for local cooperatives to create green sustainable jobs	local credit union which helps to finance local sustainable projects, cooperative incubaiton, etc. herbal cooperative to create affordable natural health remedies
Other (please specify)

8. Would you be willing to join a local credit union which would help to finance projects like those in #6 & #7

Would you be willing to join a local credit union which would help to finance projects like those in #6 & #7 yes

maybe

9. Would you shop at a "Buy Local Store"?

Would you shop at a "Buy Local Store"? yes

maybe

10. Do you currently own a business that would like to be part of a "Buy Local/Sustainable" network? If Yes, please put the business contact information and products in the box.

Do you currently own a business that would like to be part of a "Buy Local/Sustainable" network? If Yes, please put the business contact information and products in the box.

Co-op QuestionnaireExit this survey

1. FoCuS Community Supported Co-op Questionnaire

Co-op Questionnaire
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