Food Bank Customer Survey

Please help your local food bank and OlyCAP Program volunteers by answering the following questions. Thank-you very much!

Question Title

* 1. Which food bank do you use regularly?

Brinnon

Port Angeles

Port Townsend

Quilcene

Tri Area

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

Question Title

* 3. During this past month were you or a member of your household ever short of funds to purchase food?

Yes

Prefer not to answer

Question Title

* 4. Are you less worried about eating regular meals because you access emergency food services from volunteers of this food bank?

Yes

Prefer not to answer

Question Title

* 5. Do you or other household members worry about the ability to purchase healthy and nutritious food because of income limitations?

Yes

Prefer not to answer

Question Title

* 6. Do you or other household members worry about having adequate food for meal portions each week?

Yes

Prefer not to answer

Question Title

* 7. Do you worry less about feeding members of your household because this food bank distributes food each month to customers?

Yes

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

Food Bank Customer Survey

Question Title

* 1. Which food bank do you use regularly?

Question Title

* 2. How many people in your household do you pick food up for?

Question Title

* 3. During this past month were you or a member of your household ever short of funds to purchase food?

Question Title

* 4. Are you less worried about eating regular meals because you access emergency food services from volunteers of this food bank?

Question Title

* 5. Do you or other household members worry about the ability to purchase healthy and nutritious food because of income limitations?

Question Title

* 6. Do you or other household members worry about having adequate food for meal portions each week?

Question Title

* 7. Do you worry less about feeding members of your household because this food bank distributes food each month to customers?

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.

Question Title

* 9. Please add comments you would like to note about services received.

* 8. Are you a military veteran (or is anyone in your household)?
Note: Please check all correct answers below for people in your household.