Purpose: This survey is designed to help JCS understand participant satisfaction with the congregate meal site, including whether meal options are meeting participants’ needs, the quality of meals served, and the service provided by site staff and volunteers.
Instructions: Please answer honestly. Your feedback helps us improve our meals, service, and overall dining experience. Responses are confidential unless you choose to provide your contact information.

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1. Today's Date

Date

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2. How many times per week do you usually attend the JCS Cafe ?

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3. Overall, how satisfied are you with the meals served at the congregate meal site?

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4. Please rate your satisfaction with the following aspects of the food.

  Satisfied Dissatisfied
Taste and flavor
Appearance and freshness
Food temperature when served
Portion size
Variety of menu options
Nutritional quality of meals

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5. Do the meal options offered meet your needs?

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6. Please rate the service provided by site staff and volunteers.

  Excellent Good Fair Poor
Courtesy and respect
Helpfulness
Responsiveness to questions or concerns
Overall dining room experience

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7. Are the dining room location, hours of operation, cleanliness, and comfort satisfactory to you?

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8. Since attending the congregate meal site, do you feel you have more access to nutritious food?

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9. What are the main reasons you attend the congregate meal site? Check all that apply.

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10. What foods or menu items do you enjoy most?

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11. What suggestions do you have to improve the meals, menu options, service, or dining experience?

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12. Which activities do you enjoy the most at the JCS Cafe

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13. Would you recommend the JCS Cafe to a friend or neighbor?

T