Question Title

1. Age

Question Title

2. Gender

Question Title

3. Race

Question Title

4. How often do you eat meals offered at the nutrition site?

Question Title

5. How many meals do you eat every day, including meals at your nutrition site?

Question Title

6. What other services are provided at your nutrition site? (Check all that apply)

Question Title

7. How useful was this month’s nutrition education in helping you make healthy food and nutrition choices?

Question Title

8. Do you feel that the nutrition education provided through this program has helped lower your risk of nutrition-related health problems?

Question Title

9. What do you do for meals on days when the neighborhood site is not open....

  Always Sometimes Never
I cook easy to fix meals for myself.
Family or friends provide meals.
I skip meals or eat less food
I eat food saved from other meals

Question Title

10. Are you satisfied with the....

  Always Sometimes Never
Food taste
Food smell
Food appearance
Food packaging
Food variety
Food temperature
Food service time

Question Title

11. Addition Comments/Suggestions

T