"Food as Medicine" Interest Survey 2024

Interest Survey

This short survey will be used to gather information about a pilot Produce Prescription Program in 2025. All information collected will be kept confidential and be used for research purposes only.

A Produce Prescription Program is a program where healthcare providers prescribe supplemental fruits and vegetables to low-income patients to address health concerns such as diabetes and high blood pressure.

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* 1. What Tennessee County do you reside in?

Benton

Carroll

Crockett

Dyer

Gibson

Henry

Lake

Weakley

Other (please specify)

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* 2. How hard is it for you to pay for the very basics like food, housing, medical care, and heating?

Not hard at all

Not very hard

Somewhat hard

Hard

Very Hard

Decline

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* 3. Within the past 12 months, you worried that your food would run out before you got the money to buy more.

Never True

Sometimes True

Often True

Decline

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* 4. Within the past 12 months, the food you bought just didn’t last and you didn’t have money to get more.

Never true

Sometimes true

Often True

Decline

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* 5. In the past 12 months, has lack of transportation kept you from:

Medical appointments

Getting medications

Meetings

Food

Work

Getting things needed for daily living

None

All of the Above

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* 6. Do you have any of the following health conditions?

High Blood Pressure

High Cholesterol

Diabetes

Overweight/Obese

None of these

Other (please specify)