Community Pantry Survey

Feedback on the needs of the local community

Question Title

* 1. What is your age group?

15 - 24

25 - 40

41 - 55

56 - 67

68 and over

Question Title

* 2. Do you usually have children under 18 years of age in your household?

No

Yes

If yes, how many?

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* 3. Do you receive any Centrelink payments or concessions? eg. Newstart, Aged Pension, Parenting Payment, NDIS, Disability Support

No

Yes

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* 4. Do you receive any practical assistance with meals, such as Meals on Wheels, Home Care or support from family?

No

Yes

If Yes, please tell us which service?

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* 5. How often do you feel worried about your access to or supply of food?

Everyday

At some time during every fortnight

Once a month

Seldom

Never

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* 6. How often do you feel hungry at the end of the day because of a shortage of food in the home?

Most days

Once a week

Once a fortnight

Once a month

Seldom

Never