Please note, all responses are collected anonymously.

Once you fill out this survey you can enter to win 1 of 5 $50 gift cards to your local farmers' market. At the end of the survey we will ask for your email or phone number. This information will used for the draw only.

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* 1. Which city or town do you live in?

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* 2. Which organization/program do you pick up coupons from?

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* 3. What location do you pick up your coupons? e.g. The farmers market, the program office

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* 4. Is the location and timing of picking up coupons convenient for you?

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* 5. Are you receiving coupons as a Family, Pregnant Person or Senior/Elder?

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* 6. How many people live in your household?

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* 7. Are there children under 19 living in the home?

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* 8. What is your Race/Ethnicity?

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* 9. What is your annual household income?

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* 10. Do you shop with your coupons at more than one farmers' market?

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* 11. At which farmers' market(s) do you use your coupons?

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* 12. How do you usually get to the market? e.g. Walk, drive, bus etc.

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* 13. How long does it take you to get to the farmers' market?

5 Minutes 30 Minutes 60 Minutes+
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i We adjusted the number you entered based on the slider’s scale.

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* 14. Which statement best describes how you use your coupons?

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* 15. When shopping at the farmers' market, how much of your own money do you spend?

$0 $10 $20+
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i We adjusted the number you entered based on the slider’s scale.

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* 16. On what items do you most frequently spend your coupons? (Rank your top three)

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