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Meals Survey

The purpose of the Susan Mast ALS Foundation’s Meals Program is to provide the primary caregiver with a break from cooking.  If you completed the survey in 2022 but your needs have changed, please complete a new survey. In 2023, we plan to prepare and deliver care baskets full of freezer meals and other goodies several times during the year. 

It would be greatly appreciated if you could please take this short survey to let us know a bit about your meal preferences. 

Thank you!

Sarah Sheikh
Volunteer and ALS Family Liaison
1.If you are living with ALS, what best describes your diet?
2.How many adults live in your home?
3.How many children live in your home?
4.How many of your family members are vegetarians?
5.Are you limited on freezer space?
6.If you received SMAF care baskets in the past, what were your favorite items?
7.If you received SMAF care baskets in the past, what were your least favorite items?
8.If we are unable to deliver a meals basket, please list 1 or 2 nearby restaurants that you enjoy.
9.Is there anything the SMAF volunteer should know about delivering to your house? (e.g., gated community, buzzer number, leave on front door step?)
10.Where should the volunteer leave the basket if nobody is home?
11.What is the first and last name of the person who is living with ALS?(Required.)
12.What is the best phone number to reach you so the volunteer can call/text before we deliver the basket?(Required.)
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0 of 12 answered