The Parkland Gleaning Project is a great program that provides healthy food, free of cost, to Billings community members. This survey is a way for us to measure the impact of the project. Each time you glean from park trees, we would appreciate it if you could fill out this survey. Your confidentiality is protected as all responses are anonymous.

Question Title

* 1. Is this the first time you have participated in the Parkland Gleaning Project?

Question Title

* 2. Date

Date

Question Title

* 3. What Park[s] did you glean fruit from? Check all that apply.

Question Title

* 4. What type of fruit did you glean? Check all that apply.

Question Title

* 5. Estimate the amount of fruit, in pounds, that you gleaned from the park trees.

Question Title

* 6. Which race/ethnicity best describes you?

Question Title

* 7. Please choose the option that best describes your household size.

Question Title

* 8. What is your approximate annual household income? (Reminder: this survey is completely anonymous. These results will be used to report the impact of the overall program.)

T