FMNCP Participant Quick Survey 2017

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

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* 2. Which organization provides you with the coupons?

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* 3. Are you receiving coupons as a Family (includes pregnant mothers) or Senior/Elder?

Family

Senior/Elder

Other (please specify)

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* 4. How many years have you been in the coupon program?

First Year

Two Years

Three Years

Four Years

Five Years

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* 5. At which market did you use your coupons?

List any other market(s)

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* 6. How often do you shop at the farmers' market?

Almost every week

Every two weeks

Once a month

Less than once a month

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* 7. How do you usually get to the farmers' market?

Walk

Drive

Carpool

Hired Bus

Bike

Scooter

Public Bus/Transit

Other (please specify)

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

$1-$5

$6-$10

$11+

Other (please specify)

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* 9. Who usually goes with you to the farmers' market?

Just myself

I come with a friend

I come with my family

I come with other people who have coupons

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* 10. Did you (and your family) eat more vegetables and fruit because of the farmers' market coupons?

Yes

Same as before

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* 11. As part of this program, did you learn about or do any of the following (check all that apply):

Food preparation using utensils and appliances

Following instructions in recipes

Improvising with ingredients

Information about food and nutrition

Reading food labels

Understanding where food comes from

Cooking food and storing it safely

Understanding how shopping at a farmers' market impacts my community

Making healthy food

Preserving foods such as canning or freezing

Buying and storing foods

Planning healthy meals

Gaining confidence to make healthy meals

Gaining confidence buying healthy food

Connecting to other people in my community

Feeling healthier

Buying Healthy Food while on a budget

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

Question Title

* 2. Which organization provides you with the coupons?

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* 3. Are you receiving coupons as a Family (includes pregnant mothers) or Senior/Elder?

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* 4. How many years have you been in the coupon program?

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* 5. At which market did you use your coupons?

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* 6. How often do you shop at the farmers' market?

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* 7. How do you usually get to the farmers' market?

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

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* 9. Who usually goes with you to the farmers' market?

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* 10. Did you (and your family) eat more vegetables and fruit because of the farmers' market coupons?

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* 11. As part of this program, did you learn about or do any of the following (check all that apply):

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* 12. Is there anything else you would like us to know?