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

In which area of Idaho does your child attend school?

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

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

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

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

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

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

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

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

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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* 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.

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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* 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.

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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* 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.

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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* 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.

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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* 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.

How does the Backpack Program affect your family?

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

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

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

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

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

Are you currently receiving food stamps (SNAP) benefits?

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

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

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

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

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

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

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

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

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

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

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

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