Gorge Winds Grocery Member Survey 1. Gorge Winds Community Grocery Store Member Survey The Gorge Winds Community Grocery will be a community owned and governed business making locally grown, organic, wholesome foods and environmentally friendly products, services and resources available at affordable prices. We appreciate your time completing this member survey. Question Title * 1. What is most important to you when you are buying food for your family? Being able to buy local produce Having a say as a consumer about what you buy Keeping jobs and resources in our community Having a safe food supply Affordable natural foods Community center to learn about food topics, for example: growing and preserving your own food Other (please specify) Question Title * 2. Approximately how much do you spend per month on groceries for your household? < $100.00 $100-200 $200-300 >$400.00 Question Title * 3. Where do you shop for food currently A&J Market Vancouver Natural food stores Portland Natural food stores Rosauer's Safeway Walmart Winco Costco Other (please specify) Question Title * 4. Would you be interested in taking classing about growing, cooking and preserving food yes no maybe Question Title * 5. Are you interested in becoming a member of a cooperative grocery store or learning more about it yes no maybe Question Title * 6. What are your areas of interest for volunteering Becoming a local grower/food supplier Marketing/assisting with feasibility study Business planning Fund raising/ organizing events Assisting with community workshops Other (please specify) Question Title * 7. Please list your priorities for a community grocery store Kid friendly, with carts and play area Community kitchen for demonstrations/ workshops Deli area with sandwiches/salads/drinks Community space with free wireless access Sitting area with reading materials Other (please specify) Question Title * 8. If interested in volunteering please include your contact information below. Name: Address: Address 2: City/Town: State: -- 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: Email Address: Phone Number: Thank you very much for your time. Please contact us or visit our google group site for more information. Done