Food Survey

Question Title

* 1. My family has the need for a grab-and-go lunch program.

Yes

No

Maybe

Question Title

* 2. My child is a part of the free/reduced school lunch program.

Yes

No

I am not sure

Question Title

* 3. Are you able to pick up food at the R.H. Conwell School?

Yes

No

Maybe

Question Title

* 4. How many children are in your home?

1

2

3

4+

Question Title

* 5. Additional information or comments?