Agency Monthly Report

Hello Agency Partners,

Thank you for taking a moment to submit your monthly report. These reports help Feeding San Diego (FSD) better support agency partners and address hunger in San Diego County.

When you have completed the report, please ensure you click "done". SurveyMonkey may pop up an ad regarding other surveys when you're finished; you may disregard and close the web page.

As a reminder, the Monthly Survey is separate from the Food Rescue Poundage Report. If your agency participates in Food Rescue you must submit a separate report to Meal Connect located here.

-FSD Program Department

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* 1. Agency name on file with FSD:

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* 2. Agency number (your agency number is found in the last 4 digits of your AgencyExpress program code. If you do not know your code, please contact the FSD Programs Team):

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* 3. Your email:

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* 4. What month is being reported?

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* 5. Did you receive food from FSD this month?

Yes

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* 6. Which of the following models of distribution do you operate? (Select all that apply)

Large-Scale Distribution (A farmer's market-style distribution where a large volume of households move through in a few minutes)

Pantry (Serves a smaller number of households on set a days/hours per week with an intake system and potential limitations of service)

Meal Service (A program that serves or delivers hot meals on a set schedule throughout the week/month; must operate out of a certified kitchen)

Residential or Day Facility (Including residential facilities for rehabilitation or transitional housing and day programs for mental health and rehabilitation)

Other (please specify)

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* 7. How many households did your agency serve with each model used this month?

Large-Scale Distribution

Pantry

Meal Service

Residential or Day Facility

Other

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* 8. Please share any questions/concerns you may have for FSD (optional).

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* 9. Please list any changes you made this month below and update your information with FSD using the Change of Information Form (optional).

As a reminder, the Monthly Survey is separate from the Food Rescue Poundage Report. If your agency participates in Food Rescue you must submit a separate report to Meal Connect located here.