AAC Food Bank Client Survey

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* 1. How many people are in your household?

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* 2. How many children are in your household?

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* 3. Does anyone in your household have allergies?

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* 4. if Yes, please explain?

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* 5. How many pantries/soup kitchens have you had to go to in a month?

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* 6. Are the food quantities enough?

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* 7. Your overall visit experience

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* 8. The cleanliness of the pantry/soup itchen

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* 9. The services offered at this pantry/soup kitchen

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* 10. The friendliness / helpfulness of the staff and volunteers

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* 11. Are the foods received satisfactory

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* 12. How important is the pantry / soup kitchen to you

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* 13. Are there any issues / concerns you have seen at your local pantry?

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* 14. If YES, please explain:

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* 15. What services do you access at your local pantry?

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* 16. Did you know that Anne Arundel County has a Food Bank?

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* 17. Did you know the Anne Arundel County Food bank is not the same as the Maryland Food Bank?

 

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* 18. Do you currently receive food assistance from any of the following programs? (circle all that apply)

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* 19. If yes, how many times a month? 

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* 20. What best describes why you need help with food? (circle all that apply)

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* 21. The food that I obtain (purchased or received) doesn’t last through the month: (check all that apply)

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* 22. Are there certain times of the month/year when this happens most often? If so, when? (Please check all that apply)

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* 23. My household has the resources to eat balanced meals (meals that include meat, fruits, and veggies, grains and milk products): (check all that apply)

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* 24. My household reduces the size of meals or skips meals. (circle all that apply)

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* 25. Which of the following prevent you from obtaining fruit/vegetables on a regular basis? (Check all that apply)

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* 26. Which of the following prevent you from eating fruits/vegetables in a regular basis? (Check all that apply)

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* 27. Are you interested in recipe cards for how to make meals with fresh produce?

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* 28. How did you hear about this food pantry and/or soup kitchen? (check all that apply)

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* 29. In addition to money, what are your barriers to obtaining food from this resource? (Check all that apply)

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* 30. How can this food pantry and/or soup kitchen better serve you?

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* 31. Thank you for participating in this survey.

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Enter for a chance to win:

$100 gift certificate (one chance)
$50 gift certificate (two chances)

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