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Food City Community Survey

Basic Information

A strong regional food economy creates jobs and opportunities, reduces food waste and improves the environment, increases access to fresh, healthy food for all, celebrates diversity, and makes space for all to participate.

Your input will inform Food City's strategic plan aimed at fostering a more inclusive, sustainable food ecosystem in the St. Louis Metro Area.

1.First Name

2.Last Name

3.Email Address

4.Phone Number

5.Zip Code

6.What is your gender?

Woman, Female, Feminine

Man, Male, Masculine

Transgender, Trans*

Non-Binary, Gender Fluid, Genderqueer or Gender Non-Conforming

Prefer Not To Say

Other (please specify)

7.In what year were you born? (enter 4-digit birth year; for example, 1976)

8.What is your household income?

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

Other (please specify)

9.How many people live in your household?

1

2

3

4

5

6

7 or More

10.What is your role in the St. Louis Metro Area food system?

Consumer / Citizen

Industry Professional

Business Owner / Entrepreneur

Government Official / Policymaker / Public Agency

Organizer / Activist

Other (please specify)

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