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* 1. Please select that category that most accurately describes your membership in the ASU campus community:

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* 2. What is your current housing situation?

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* 3. Do you have any dependents?

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* 4. In the last 6 months, have you been worried that your supply of food would run out before you got money to buy more food?

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* 5. In the last 6 months, have you bought food that did not last as long as you planned for it to?

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* 6. In the last 6 months, have there been times when you could not afford a well-balanced meal?

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* 7. In the last 6 months, have you cut meal size or skipped a meal for financial reasons?

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* 8. In the last 6 months, have there been times when you ate less than you felt you should for financial reasons?

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* 9. In the last 6 months, have you had to make a decision to purchase either food or other necessities?

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* 10. In the last 6 months, have there been times when you were hungry but did not eat for financial reasons?

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* 11. In the last 6 months, have you experienced weight fluctuations unintentionally due to the amount or type of food to which you had access?

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* 12. In the last 6 months, have there been times when you did not eat for an entire day due to financial reasons or lack of access to food?

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* 13. In the last 6 months, have there been times when your access to transportation has impacted your access to healthy food?

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* 14. In the last 6 months, has your knowledge of cooking and food preparation impacted your decisions whether or not to buy healthy food?

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* 15. Do you believe you would benefit from a food bank or similar resource on campus?

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* 16. Do you believe other members of the ASU campus community would benefit from a food bank or similar resource on campus?

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* 17. If you were eligible for Supplemental Nutrition Assistance Program (SNAP) benefits, would you be interested in applying?

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* 18. In your estimation, what percentage of ASU students, staff, and faculty struggle with food insecurity? (please enter a numerical figure, i.e. 5, 32, 74, etc.)

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* 19. What do you think are the best solutions to the problem of food insecurity among college-age students?

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* 20. What do you think are the best solutions to the problem of food insecurity for staff and faculty members?

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* 21. Please provide any further comments on the matter of food insecurity, access to healthy food, and solutions to the physical and financial struggles members of the ASU campus community face with respect to food:

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