2025 Farmers Market Nutrition Coupon Program- Participant Survey

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.

1.Which city or town do you live in?

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

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

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

Yes

Somewhat

Please explain why,

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

Family

Senior/Elder

Pregnant Person

Other (please specify)

6.How many people live in your household?

Single person

2-4

5-8

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

Yes

8.What is your Race/Ethnicity?

First Nations (Status & Non-Status)

Métis

Inuit

Arab

Black (e.g., African, Afro-Caribbean, African Canadian)

Chinese

Filipino

Japanese

Korean

Latin American

South Asian (e.g., East Indian, Pakistani, Sri Lankan)

Southeast Asian (e.g., Vietnamese, Cambodian, Laotian, Thai)

West Asian (e.g., Iranian, Afghan)

White (e.g., European descent)

Other

Prefer not to say

9.What is your annual household income?

Less than $20,000

$20,000-$39,999

$40,000-$59,999

More than $60,000

Prefer not to say

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

Yes

If yes, why do you shop at more than one farmers' market?

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

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

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

5 Minutes

30 Minutes

60 Minutes+

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

I spend most or all of the coupons every time I shop

I wait a few weeks until I have enough coupons to buy what I need

I wait until the end of the season and spend all my coupons at once

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

$10

$20+

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

Vegetables

Fruit

Meat/Fish/Poultry

Eggs

Cheese

Nuts

Herbs

Vegetable & Fruit Plants

Honey

Create surveys and forms with ease. Sign up free.

Privacy & Cookie Notice