Planting Healthy Roots (pre-distribution survey)

Planting Healthy Roots: A Look at the Right Choice, Fresh Start Farmers' Market

 
Thank you for your interest in the Planting Healthy Roots documentary film. Please answer the following questions to help us learn more about the people and groups interested in this film. Upon completion of this form, we will mail you a copy of the DVD. You will receive a follow-up email in March 2012 after you receive the film. This will be an opportunity for you to provide feedback to us on the quality of the film and additional thoughts. Thanks again for your interest in this film!

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1. Would you like to receive a free copy of the DVD?
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2. Contact Information
3. Why are you interested in receiving a copy of the "Planting Healthy Roots: A Look at the Right Choice, Fresh Start Farmers' Market" documentary film?
4. What populations or groups do you or your organization collaborate with or serve? Check ALL that apply.
5. What part of the food system do you or your organization represent? Please select only one response.
6. How much of a problem would you say that lack of access to adequate food shopping is in your community?
7. Please describe your prior experiences, if any, with farmers' markets.
8. How do you plan to use the "Planting Healthy Roots" documentary film?
Thank you for sharing this information with us! If you responded yes to question #1, you will receive one copy of the documentary film by regular mail in about two weeks.
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