Food Bank Customer Survey Please help your local food bank and OlyCAP Program volunteers by answering the following questions. Thank-you very much! OK Question Title * 1. Which food bank do you use regularly? Brinnon Port Angeles Port Townsend Quilcene Tri Area OK Question Title * 2. How many people in your household do you pick food up for? One Two Three to five Five to ten Ten or more OK Question Title * 3. During this past month were you or a member of your household ever short of funds to purchase food? Yes No Prefer not to answer OK Question Title * 4. Are you less worried about eating regular meals because you access emergency food services from volunteers of this food bank? Yes No Prefer not to answer OK Question Title * 5. Do you or other household members worry about the ability to purchase healthy and nutritious food because of income limitations? Yes No Prefer not to answer OK Question Title * 6. Do you or other household members worry about having adequate food for meal portions each week? Yes No Prefer not to answer OK Question Title * 7. Do you worry less about feeding members of your household because this food bank distributes food each month to customers? Yes No OK Question Title * 8. Are you a military veteran (or is anyone in your household)? Note: Please check all correct answers below for people in your household. Yes Myself Spouse Son/Daughter Parent Other No OK Question Title * 9. Please add comments you would like to note about services received. OK NEXT