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Food Access Resident Survey
Food Access
*
1.
Where do you usually get your food? (select all that apply)
(Required.)
Grocery store
Food pantry / food bank
Farmers market
Convenience store
Restaurant / takeout
Hunting / fishing / gardening
Other (please specify)
*
2.
How far do you typically travel to access food?
(Required.)
Less than 5 miles
5–10 miles
More than 10 miles
*
3.
How easy is it for you to access healthy food?
(Required.)
Very difficult
Somewhat difficult
Somewhat easy
Very easy
Very difficult
Somewhat difficult
Somewhat easy
Very easy
*
4.
Are there times when you do not have enough food for your household?
(Required.)
Often
Sometimes
Rarely
Never
Often
Sometimes
Rarely
Never
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