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Please fill out this survey. It is extremely important that we have this info.

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* 1. Name of Agency

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* 2. Contact Name and Email

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* 3. Which of the following best describes your program? Tick all that apply.

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* 4. What is your current status in light of COVID-19? Tick all that apply.

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* 5. What are your current day(s) and hours pf operation? (If closed, please write N/A)

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* 6. What is the best way for a member of the public to reach your location for current information?

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* 7. What is the best phone number and/or email to contact for current information?

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* 8. Is your food program open to the public?

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* 9. Please provide any additional requirements/instructions that recipients need to meet in order to receive food from your program (i.e. ID, SNAP, utility bill, etc.) and/or indicate if it's open to only certain populations (seniors, residents of specific area codes, veterans, etc.).

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* 10. Are you currently accepting food donations?

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* 11. Do you know of any feeding programs that have recently opened or closed in your area? If yes, please provide any information on name(s), location(s), and any other contact information on the program(s) if available.

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* 12. Does your pantry currently have enough food to meet demand?

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* 13. If more food was delivered to you in bulk, would you have the capacity to distribute it rapidly? (Would you have enough volunteers and/or storage space?)

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* 14. Do you have baby formula (or diapers, wipes, etc.) available?

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* 15. Have you seen an increase in people coming since the start of COVID-19's spread due to any of the following reasons?

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* 16. Have you experienced a reduction in volunteer assistance in the last few weeks?

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* 17. Have any of your volunteers been unable to work because of COVID-19?

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* 18. If you need more volunteers, would you like assistance in recruiting them?

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* 19. What safety precautions is your site taking to protect your volunteers and community members? Are you limiting the amount of individuals who are at your site at once?

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* 20. Is there anything the government could do to better support your efforts? If so, specify what and which level of government.

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