Monthly Agency Report

1. Monthly Agency Statistics Survey

Question Title

* 1. Name of Agency and Number

Question Title

* 2. What month are you reporting?

January

February

March

April

May

June

July

August

September

October

November

December

Question Title

* 3. What type of food program?

Pantry (food or non-food items)

Meals

Snacks

Question Title

* 4. Name of the person completing the survey

Question Title

* 5. For meal programs, how many total meals (# of people served at each meal) were served this month?

Question Title

* 6. What is the total number of people served MEALS for the first time this year?

Question Title

* 7. For Snack Programs, how many total snacks did you serve to each person this month (# of people multiplied by the number of times you served a snack)?

Monthly Agency Report

1. Monthly Agency Statistics Survey

Question Title

* 1. Name of Agency and Number

Question Title

* 2. What month are you reporting?

Question Title

* 3. What type of food program?

Question Title

* 4. Name of the person completing the survey

Question Title

* 5. For meal programs, how many total meals (# of people served at each meal) were served this month?

Question Title

* 6. What is the total number of people served MEALS for the first time this year?

Question Title

* 7. For Snack Programs, how many total snacks did you serve to each person this month (# of people multiplied by the number of times you served a snack)?

Question Title

* 8. What is the total number of people served SNACKS this month for the first time this year?

Question Title

* 9. For pantry programs, what is the total number of households served this month?

Question Title

* 10. What is the total number of people served at your PANTRY this month for the first time this year?

Question Title

* 11. How many pounds were donated to your organization this month?
(Rule of thumb: 1 item = 1 pound)

Question Title

* 12. How many pounds did you purchase at retail/wholesale stores this month?
(Rule of thumb: 1 item = 1 pound)

Question Title

* 13. What Client Success Stories have you had this month?

Question Title

* 14. Comments/Questions/Concerns?

Question Title

* 1. Name of Agency and Number

Question Title

* 2. What month are you reporting?

Question Title

* 3. What type of food program?

Question Title

* 4. Name of the person completing the survey

Question Title

* 5. For meal programs, how many total meals (# of people served at each meal) were served this month?

Question Title

* 6. What is the total number of people served MEALS for the first time this year?

Question Title

* 7. For Snack Programs, how many total snacks did you serve to each person this month (# of people multiplied by the number of times you served a snack)?

Question Title

* 8. What is the total number of people served SNACKS this month for the first time this year?

Question Title

* 9. For pantry programs, what is the total number of households served this month?

Question Title

* 10. What is the total number of people served at your PANTRY this month for the first time this year?

Question Title

* 11. How many pounds were donated to your organization this month? (Rule of thumb: 1 item = 1 pound)

Question Title

* 12. How many pounds did you purchase at retail/wholesale stores this month?(Rule of thumb: 1 item = 1 pound)

Question Title

* 13. What Client Success Stories have you had this month?

Question Title

* 14. Comments/Questions/Concerns?

* 11. How many pounds were donated to your organization this month?
(Rule of thumb: 1 item = 1 pound)

* 12. How many pounds did you purchase at retail/wholesale stores this month?
(Rule of thumb: 1 item = 1 pound)