Fall Food Pantry Customer Survey

In response to COVID, we have made many changes at the Council and would like to be sure we are meeting the current needs of our community. Please complete this survey to help us better understand how Council programs help your family.

Family Information

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* 1. Please share your Family Information

First Name

Last Name

Street Address

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* 2. Do you have children under 18 living in your household

Yes

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* 3. How many total people in your household, including yourself

Please help us better understand the needs of your family

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* 4. Which of the following areas are you having a trouble with:

	No Problem	Small Problem	Medium Problem	Big Problem
Need more Food (than we are providing)	Need more Food (than we are providing) No Problem	Need more Food (than we are providing) Small Problem	Need more Food (than we are providing) Medium Problem	Need more Food (than we are providing) Big Problem
Paying Rent	Paying Rent No Problem	Paying Rent Small Problem	Paying Rent Medium Problem	Paying Rent Big Problem
Child Care	Child Care No Problem	Child Care Small Problem	Child Care Medium Problem	Child Care Big Problem
Mental Health	Mental Health No Problem	Mental Health Small Problem	Mental Health Medium Problem	Mental Health Big Problem
Paying Utilites	Paying Utilites No Problem	Paying Utilites Small Problem	Paying Utilites Medium Problem	Paying Utilites Big Problem
Credit Card Debt	Credit Card Debt No Problem	Credit Card Debt Small Problem	Credit Card Debt Medium Problem	Credit Card Debt Big Problem
Transportation	Transportation No Problem	Transportation Small Problem	Transportation Medium Problem	Transportation Big Problem
Access to the Internet	Access to the Internet No Problem	Access to the Internet Small Problem	Access to the Internet Medium Problem	Access to the Internet Big Problem
English Language help	English Language help No Problem	English Language help Small Problem	English Language help Medium Problem	English Language help Big Problem
Home Health Assistance	Home Health Assistance No Problem	Home Health Assistance Small Problem	Home Health Assistance Medium Problem	Home Health Assistance Big Problem
Looking for a Job	Looking for a Job No Problem	Looking for a Job Small Problem	Looking for a Job Medium Problem	Looking for a Job Big Problem

Other (please specify)

We are now planning our Thanksgiving Food Distribution. Which of these options would you prefer for your family/household?

Question Title

* 5. There are TWO options this year.

* a box of ingredients picked up at the Food Pantry,
including a gift card to purchase a turkey

* a pre-made meal delivered to your home
(PLEASE NOTE: we can only deliver a maximum of 3 meals per household)

I would like a Prepared Meal Delivered to my home

I would like to pick up the Ingredients for a Meal

I do not need help with Thanksgiving meal this year

Please tell us a bit about communicating with you.

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* 6. What is the best way to communicate with you?

Phone

Mail

Other (please specify)

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* 7. Are there any recent changes to your email, phone or address? Please share any changes below:

We have a new monthly e-newsletter "Notes from the Pantry" with all the news from the Needham Community and the Pantry.

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* 8. Have you seen or read the new Pantry Newsletter

Yes

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* 9. Are you finding it helpful?

Yes

Please share your thoughts about it

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* 10. Please tell us how you feel about the number of emails we send to you:

Too Many Emails

Just right

Too few emails

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* 11. Any other comments about communicating with you

We are here to help our neighbors

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* 12. Do you know of anyone who may need our services who is not currently a customer? What reason(s) do you think are preventing them from contacting us?

They have trouble with language and communication

They don't know what is available

They are afraid they won't qualify

They are embarrassed

I'm not sure how to ask someone if they need help

I don't know anyone who is in need of your services who is not using them

Other (please specify)

Fall Food Pantry Customer Survey

Question Title

* 1. Please share your Family Information

Question Title

* 2. Do you have children under 18 living in your household

Question Title

* 3. How many total people in your household, including yourself

Question Title

* 4. Which of the following areas are you having a trouble with:

Question Title

* 5. There are TWO options this year. * a box of ingredients picked up at the Food Pantry, including a gift card to purchase a turkey* a pre-made meal delivered to your home (PLEASE NOTE: we can only deliver a maximum of 3 meals per household)

Question Title

* 6. What is the best way to communicate with you?

Question Title

* 7. Are there any recent changes to your email, phone or address? Please share any changes below:

Question Title

* 8. Have you seen or read the new Pantry Newsletter

Question Title

* 9. Are you finding it helpful?

Question Title

* 10. Please tell us how you feel about the number of emails we send to you:

Question Title

* 11. Any other comments about communicating with you

Question Title

* 12. Do you know of anyone who may need our services who is not currently a customer? What reason(s) do you think are preventing them from contacting us?

* 5. There are TWO options this year.

* a box of ingredients picked up at the Food Pantry,
including a gift card to purchase a turkey

* a pre-made meal delivered to your home
(PLEASE NOTE: we can only deliver a maximum of 3 meals per household)