Please take a few moments to tell us how the Backpack Program is working for you and your family. Thank you!

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* 1. In which area of Idaho does your child attend school?

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* 2. How many children that live in your house use the Backpack Program?

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i We adjusted the number you entered based on the slider’s scale.

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* 3. Is this the first year your family has used the Backpack Program?

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* 4. If ‘No’, how many years has your family been in the Backpack Program?

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* 5. Do you feel you will need to use the Backpack Program in the next school year?

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* 6. Please tell us how much you agree with the following statement: Without the Backpack Program, my child/children would have to skip one or more meals on weekends.

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* 7. Please tell us how much you agree with the following statements: Without the Backpack Program, we would have to make one or more of our family’s meals smaller.

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* 8. Please tell us how much you agree with the following statement: The program has helped us use our money on critical household needs other than food.

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* 9. Please tell us how much you agree with the following statement:The Backpack Program has made a positive difference in the well-being of my child/children.

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* 10. Please tell us how much you agree with the following statement: Because of the program, I find it easier to communicate my family’s needs to my child/children’s school.

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* 11. How does the Backpack Program affect your family?

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* 12. Does your child/children get enough food in the Backpack to last the entire weekend?

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* 13. Do you know of other places in your community where you might get food assistance?

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* 14. Are you currently receiving food stamps (SNAP) benefits?

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* 15. Are you receiving WIC assistance at this time? (Supplemental Nutrition Program for Women with Infants and Children Under the Age of 5).

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* 16. Please tell us how many people in the following age groups live in your home:

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* 17. Has your child/children ever told you about being teased or bullied at school because they receive food from the Backpack Program?

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* 18. What did you think about the toothbrushes and toothpaste that were sometimes in the Backpack? Check all that apply:

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* 19. Please tell us what we could do to make the Backpack Program better?

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* 20. Would a food pantry located at your school better serve your family’s food needs?

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