Thank you for your interest in working with Leah's Pantry! Please complete this survey to help us better understand how we can support your organization in promoting healthy cooking and nutrition. 

If you have already completed this survey before, you do NOT need to complete again. If you're unsure if you've completed it, please contact danielle@leahspantrysf.org. Thank you!
Your contact information:

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* 1. Your contact information:

Organization website:

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* 2. Organization website:

How did you hear about Leah's Pantry? (Check all that apply.)

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* 3. How did you hear about Leah's Pantry? (Check all that apply.)

Does your organization distribute charitable food through any of the following ways?

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* 4. Does your organization distribute charitable food through any of the following ways?

My organization serves (select all that apply):

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* 5. My organization serves (select all that apply):

What languages do your clients speak?

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* 6. What languages do your clients speak?

Is your organization SNAP-Ed funded?

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* 7. Is your organization SNAP-Ed funded?

Briefly describe your organization's primary programs. What has worked well in promoting health and wellness to your clients?

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* 8. Briefly describe your organization's primary programs. What has worked well in promoting health and wellness to your clients?

Please select the statement that best applies to your organization:

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* 9. Please select the statement that best applies to your organization:

Does your organization have barriers to implementing nutrition education programs? If so, select the barriers that apply:

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* 10. Does your organization have barriers to implementing nutrition education programs? If so, select the barriers that apply:

What are the most important nutrition questions that you and/or your clients have?

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* 11. What are the most important nutrition questions that you and/or your clients have?

How often are you utilizing or promoting EatFresh.org tools with your clients and/or colleagues? (e.g. using the tools at workshops or health fairs, to look up recipes for classes, to extend your programming, etc.)

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* 12. How often are you utilizing or promoting EatFresh.org tools with your clients and/or colleagues? (e.g. using the tools at workshops or health fairs, to look up recipes for classes, to extend your programming, etc.)

  Daily Weekly Monthly Not at all Planning to use/promote Want to learn more about
EatFresh.org
EatFresh.org Mini Course
EatFresh.org Weekly Email Health Tips
Have you used an EatFresh.org recipe in a recipe demonstration or cooking activity at your site?

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* 13. Have you used an EatFresh.org recipe in a recipe demonstration or cooking activity at your site?

What social media platforms, if any, does your organization actively use?

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* 14. What social media platforms, if any, does your organization actively use?

Do you have wifi or computers with Internet connection for public use at your site?

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* 15. Do you have wifi or computers with Internet connection for public use at your site?

Do you have televisions or monitors to play videos (either via DVD or by streaming on the Internet) in your waiting room, lobby, computer lab, or any public space?

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* 16. Do you have televisions or monitors to play videos (either via DVD or by streaming on the Internet) in your waiting room, lobby, computer lab, or any public space?

Indicate your relative confidence and experience level with each topic below.

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* 17. Indicate your relative confidence and experience level with each topic below.

  Very confident Somewhat confident Looking for additional support/training Not confident
Basic Nutrition
Workshop Facilitation
Cooking with a Group
Introducing/Using Online Tools
Incorporating Client Feedback in Your Program
Leah's Pantry also provides training and support for organizations to run in-person curriculum, Food Smarts. Please select all that apply:

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* 18. Leah's Pantry also provides training and support for organizations to run in-person curriculum, Food Smarts. Please select all that apply:

Thank you for taking the time to complete our Partner Registration! We will follow-up soon and add you to our Leah's Pantry and EatFresh.org newsletters.

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