The below questions are to help Kalamazoo Loaves & Fishes provide you with the best experience possible. If there is a question that you are not comfortable with answering, please feel free to skip to the next question. At the end of the survey, you are welcome to leave your name and phone number to be entered in a drawing for a $50 gift card to a grocery store of your choice!

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* 1. Which of these changes would make it more convenient for you to visit this food pantry? (Check all that apply)

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* 2. Do you or anyone in your household have special dietary needs?

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* 3. Would you or anyone in your household be interested in frozen prepared meals, as part of the grocery options? 

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* 4. How long will the food you receive from Kalamazoo Loaves & Fishes food pantry last in your household?

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* 5. How often in a month do you need food assistance?

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* 6. In the last month, did you or anyone in your household ever eat less or skip a meal because you did not have enough food in your home?

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* 7. How did you hear about this food pantry?

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* 8. Please indicate if you would like KLF pantries to offer information or programming on the following:

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* 9. What is your gender? 

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* 10. Which race/ethnicity best describes you? (Please choose only one.)

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* 11. What is your zip code?

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* 12. Number of Household members by age, INCLUDING yourself?

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* 13. How many adults living with you, INCLUDING yourself, are employed at some level?

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* 14. Do you:

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* 15. Your main method of transportation is:

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* 16. Please provide your name and phone number if you would like to be entered into a drawing for a $50 gift card to a grocery store of your choice!

Thank you for taking the time to provide Kalamazoo Loaves & Fishes with feedback. We appreciate your willingness to share your experiences at our pantries and what you would like to see in the future. 

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