2014-2015 School Pantry Family Survey

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* 2. Please tell us how many people living in your household by writing the number of people in each age group in the appropriate box below. (For example, if your family has one infant, mark "1" in the "Infants under 1 year of age" box. If your family has 3 children ages 5-12, mark "3" in the "Children ages 5-12" box. If your family has 2 adults, mark "2" in the "Adults ages 19-60" box, etc.).

Infants under 1 year of age

Children ages 1-4

Children ages 5-12

Children ages 13-18

Adults ages 19-60

Seniors (older than 60 years)

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* 3. How did you find out about the School Pantry?

Child's teacher

School counselor or social worker

Family friend or neighbor

School newsletter

Flyer sent home with child

Sign or poster at school

Other (please specify)

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* 4. How many times has your family used your school's pantry this school year?

Once

2-3 times

4-5 times

6-7 times

8-9 times

10 times or more

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* 5. When you use the School Pantry, are you treated with respect and courtesy by the staff and volunteers who distribute the food?

Yes

Sometimes

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* 6. Is using the School Pantry easy and convenient for you? (Check all that apply).

Yes, because I don't have to make an extra trip to another food pantry

Yes, it helps me save gas and travel less

Yes, because I feel more comfortable accessing help at the School Pantry instead of a community food pantry

No, because (please specify):

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* 7. When using the School Pantry, were you able to choose the food you took home?

All of the food

Some of the food

Not able to choose any, it was all chosen for me

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* 8. Please tell us how happy you are with the food that your household receives from the School Pantry. Please mark the appropriate column.
How happy are you with:

	Very happy	Somewhat happy	Somewhat unhappy	Very unhappy
The amount of food you receive?	The amount of food you receive? Very happy	The amount of food you receive? Somewhat happy	The amount of food you receive? Somewhat unhappy	The amount of food you receive? Very unhappy
The quality of food you receive?	The quality of food you receive? Very happy	The quality of food you receive? Somewhat happy	The quality of food you receive? Somewhat unhappy	The quality of food you receive? Very unhappy
The variety of food available?	The variety of food available? Very happy	The variety of food available? Somewhat happy	The variety of food available? Somewhat unhappy	The variety of food available? Very unhappy

If unhappy, please tell us why:

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* 9. Before the School Pantry was available, did you ever use emergency food at another food pantry?

Yes, I have used food pantries in the past

No, I have never used a food pantry before the School Pantry

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* 10. Since using the School Pantry, have you needed to use other emergency food pantries?

Yes, three or more times a month

Yes, twice a month

Yes, once a month

No, I haven't needed to use another pantry besides the School Pantry

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* 11. What types of DRY/SHELF-STABLE product would you like to get more of from your School Pantry? Check all that apply.

Canned fruit

Canned vegetables

Pasta

Rice

Dry bean/lentils

Peanut butter

Shelf-stable milk

Baby food

Cereals

Canned meat

Beverages

Snacks

Canned meals (soups, stews, etc.)

Boxed meals (Hamburger/Tuna Helper)

Other (please specify)

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* 12. What types of FRESH/REFRIGERATED product would you like to get more of from your School Pantry? Check all that apply.

Cheese

Condiments

Eggs

Fruits

Juice

Milk

Vegetables

Yogurt

Other (please specify)

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* 13. What types of FROZEN product would you like to get more of from your School Pantry? Check all that apply.

Bread

Frozen fruits

Frozen vegetables

Meats

Potatoes

Soups and meals

Our school pantry does not have a freezer

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* 14. In the past 12 months, did you ever make or serve less food than you felt you should for yourself or your family because there wasn't enough money to buy food?

Yes

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* 15. Do you feel you are able to make more meals for your family since using the School Pantry?

Yes

A little bit

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* 16. Please respond to the following statements. Please mark the appropriate column for each statement.

	Definitely Agree	Somewhat Agree	Do Not Agree
Without the School Pantry Program, my family would have to skip one or more meals or reduce the size of meals.	Without the School Pantry Program, my family would have to skip one or more meals or reduce the size of meals. Definitely Agree	Without the School Pantry Program, my family would have to skip one or more meals or reduce the size of meals. Somewhat Agree	Without the School Pantry Program, my family would have to skip one or more meals or reduce the size of meals. Do Not Agree
The program has helped stretch our household dollars to be used for other critical family needs.	The program has helped stretch our household dollars to be used for other critical family needs. Definitely Agree	The program has helped stretch our household dollars to be used for other critical family needs. Somewhat Agree	The program has helped stretch our household dollars to be used for other critical family needs. Do Not Agree
The School Pantry Program has made a positive difference in the well-being of my family.	The School Pantry Program has made a positive difference in the well-being of my family. Definitely Agree	The School Pantry Program has made a positive difference in the well-being of my family. Somewhat Agree	The School Pantry Program has made a positive difference in the well-being of my family. Do Not Agree
Because of participating in the program, I find it easier to communicate my family's needs to my child/children's school.	Because of participating in the program, I find it easier to communicate my family's needs to my child/children's school. Definitely Agree	Because of participating in the program, I find it easier to communicate my family's needs to my child/children's school. Somewhat Agree	Because of participating in the program, I find it easier to communicate my family's needs to my child/children's school. Do Not Agree
If the School Pantry was not available to help my family with food, I would go to another food pantry.	If the School Pantry was not available to help my family with food, I would go to another food pantry. Definitely Agree	If the School Pantry was not available to help my family with food, I would go to another food pantry. Somewhat Agree	If the School Pantry was not available to help my family with food, I would go to another food pantry. Do Not Agree
If the School pantry was not available to my family with food, I would get help from relatives or friends.	If the School pantry was not available to my family with food, I would get help from relatives or friends. Definitely Agree	If the School pantry was not available to my family with food, I would get help from relatives or friends. Somewhat Agree	If the School pantry was not available to my family with food, I would get help from relatives or friends. Do Not Agree
Since using the School Pantry, my family's food security has increased.	Since using the School Pantry, my family's food security has increased. Definitely Agree	Since using the School Pantry, my family's food security has increased. Somewhat Agree	Since using the School Pantry, my family's food security has increased. Do Not Agree

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* 17. Are any of your children participating in the Backpack Program?

Yes

We used to be, but do not anymore because we are better served through the School Pantry

2014-2015 School Pantry Family Survey

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* 1. Which School Pantry do you use to receive emergency food assistant?

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* 3. How did you find out about the School Pantry?

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* 4. How many times has your family used your school's pantry this school year?

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* 5. When you use the School Pantry, are you treated with respect and courtesy by the staff and volunteers who distribute the food?

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* 6. Is using the School Pantry easy and convenient for you? (Check all that apply).

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* 7. When using the School Pantry, were you able to choose the food you took home?

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* 8. Please tell us how happy you are with the food that your household receives from the School Pantry. Please mark the appropriate column.
How happy are you with:

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* 9. Before the School Pantry was available, did you ever use emergency food at another food pantry?

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* 10. Since using the School Pantry, have you needed to use other emergency food pantries?

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* 11. What types of DRY/SHELF-STABLE product would you like to get more of from your School Pantry? Check all that apply.

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* 12. What types of FRESH/REFRIGERATED product would you like to get more of from your School Pantry? Check all that apply.

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* 13. What types of FROZEN product would you like to get more of from your School Pantry? Check all that apply.

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* 14. In the past 12 months, did you ever make or serve less food than you felt you should for yourself or your family because there wasn't enough money to buy food?

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* 15. Do you feel you are able to make more meals for your family since using the School Pantry?

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* 16. Please respond to the following statements. Please mark the appropriate column for each statement.

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* 17. Are any of your children participating in the Backpack Program?

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* 18. Are you currently receiving food stamp benefits?

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* 1. Which School Pantry do you use to receive emergency food assistant?

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* 3. How did you find out about the School Pantry?

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* 4. How many times has your family used your school's pantry this school year?

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* 5. When you use the School Pantry, are you treated with respect and courtesy by the staff and volunteers who distribute the food?

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* 6. Is using the School Pantry easy and convenient for you? (Check all that apply).

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* 7. When using the School Pantry, were you able to choose the food you took home?

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* 8. Please tell us how happy you are with the food that your household receives from the School Pantry. Please mark the appropriate column.How happy are you with:

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* 9. Before the School Pantry was available, did you ever use emergency food at another food pantry?

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* 10. Since using the School Pantry, have you needed to use other emergency food pantries?

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* 11. What types of DRY/SHELF-STABLE product would you like to get more of from your School Pantry? Check all that apply.

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* 12. What types of FRESH/REFRIGERATED product would you like to get more of from your School Pantry? Check all that apply.

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* 13. What types of FROZEN product would you like to get more of from your School Pantry? Check all that apply.

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* 14. In the past 12 months, did you ever make or serve less food than you felt you should for yourself or your family because there wasn't enough money to buy food?

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* 15. Do you feel you are able to make more meals for your family since using the School Pantry?

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* 16. Please respond to the following statements. Please mark the appropriate column for each statement.

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* 17. Are any of your children participating in the Backpack Program?

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* 18. Are you currently receiving food stamp benefits?

* 8. Please tell us how happy you are with the food that your household receives from the School Pantry. Please mark the appropriate column.
How happy are you with: