2017 Food For Free Recipient Survey Question Title * 1. Program Information Name of Person Completing the Survey Organization/Program Name City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Question Title * 2. Please describe your program Food Pantry Meal Program Shelter School Youth Program SRO or Special Needs Residence Other (please specify) Question Title * 3. Who from Food For Free delivers your food? (Check all that apply) Adam Christian Donald Julio Santana Other (please specify) Question Title * 4. Food For Free Drivers Strongly Agree Agree Disagree Strongly Disagree My driver is professional and courteous. My driver is professional and courteous. Strongly Agree My driver is professional and courteous. Agree My driver is professional and courteous. Disagree My driver is professional and courteous. Strongly Disagree Comments: My driver is on time. My driver is on time. Strongly Agree My driver is on time. Agree My driver is on time. Disagree My driver is on time. Strongly Disagree Comments: My driver calls if he is late. My driver calls if he is late. Strongly Agree My driver calls if he is late. Agree My driver calls if he is late. Disagree My driver calls if he is late. Strongly Disagree Comments: My driver delivers food that we want. My driver delivers food that we want. Strongly Agree My driver delivers food that we want. Agree My driver delivers food that we want. Disagree My driver delivers food that we want. Strongly Disagree Comments: My driver delivers good quality food. My driver delivers good quality food. Strongly Agree My driver delivers good quality food. Agree My driver delivers good quality food. Disagree My driver delivers good quality food. Strongly Disagree Comments: Question Title * 5. Overall Satisfaction: Strongly Agree Agree Disagree Strongly Disagree I am highly satisfied with my experience with Food For Free I am highly satisfied with my experience with Food For Free Strongly Agree I am highly satisfied with my experience with Food For Free Agree I am highly satisfied with my experience with Food For Free Disagree I am highly satisfied with my experience with Food For Free Strongly Disagree Question Title * 6. Please tell us what Food For Free can do to improve your experience. Question Title * 7. How many individuals does your program serve each month? Question Title * 8. How many of your clients are: Children under 18 years old Adults between the ages of 18 and 65 Seniors over 65 Question Title * 9. How many of your clients are: (Whole numbers only--no percentages) Asian Black/African American Latino Native American White Mixed Race/Other Question Title * 10. How many of your clients speak these languages? (Whole numbers only--no percentages) Cantonese Cape Verdean Creole English French Haitian Kreyol Portuguese Russian Spanish Other (please specify) Question Title * 11. How many of your clients are: (Whole numbers only--no percentages) Low Income Homeless Disabled U.S. Veteran Question Title * 12. How does receiving food from Food For Free impact your program? Question Title * 13. How would your clients' experience be different if you didn't receive food from Food For Free? Question Title * 14. Please share any other comments you have for us. Question Title * 15. We occasionally include testimonials from our recipient agencies in emails, newsletters, and letter to our supporters. Can we include your answers? Yes No Done