Monthly Client Data Reporting - OCTOBER 2013

1. MANNA Partner Agency Monthly Survey - OCTOBER 2013

Thank you for making the necessary adjustments in your own reports and intake of clients so that your agency is prepared to report client information each and every month. Remember -- these reports replace the semi-annual report. PLEASE DO NOT INCLUDE ZEROS WHEN COMPLETING THE DATA FIELDS.

Section 1 is to be completed by all agencies, regardless of service type AND regardless of whether or not you've used MANNA food in the past month.

Sections 2-5 are pages for you to enter your monthly percentages and numbers. Question #3 below will guide you in which sections to complete for your agency. If you are a multi-service agency, you may have to complete more than one section. ** Note - all client data is to be broken down by county where your clients live. **

These monthly reports help MANNA FoodBank better communicate and understand the important views of people who have been involved in this work on a daily basis. This information will be used to guide our overall activity, our messages and outreach, and our planning in the coming years.

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* Your agency's name

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* Your MANNA Agency Number

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* Please select the type of services your agency provides with the MANNA Food. Check all that apply.

Food Pantry (or Produce Market) - complete section 2

MANNAPacks - complete section 2

Emergency Shelter - complete section 3

Soup Kitchen/Street Ministry - complete section 4

Residential/Group Home - complete section 5

Day Care (child or adult) - complete section 5

Senior (social or assistance programs)- complete section 5

Substance Abuse Rehabilitation (non-residential)- complete section 5

Youth Program (afterschool, etc.) - complete section 5

Other (please specify) - complete section 5

Question Title

* Your name and the best way to reach you.
(Include email, phone #, where available)

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* Today's date

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* Are you hosting a special distribution or meal around the Thanksgiving Holiday? If so, please let us know when and where so that we can direct volunteer and client inquiries your way.

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* Are you a Buncombe County Agency interested in receiving mobile deliveries? We do not currently offer this service in Buncombe County, but we would like to look into whether or not this would be worth implementing and whether or not it would help us move more food. So, would you be interested in receiving deliveries for a small fee per pound, and would it enable you to order and distribute more food? Thank you!

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* Did your agency use or distribute any product from MANNA during the month of OCTOBER 2013?

YES - We used/distributed MANNA product during this past month.

NO - We did NOT use/distribute any MANNA product during this past month.

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* Your agency's name

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* Your MANNA Agency Number

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* Please select the type of services your agency provides with the MANNA Food. Check all that apply.

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* Your name and the best way to reach you. (Include email, phone #, where available)

Question Title

* Today's date

Question Title

* Are you hosting a special distribution or meal around the Thanksgiving Holiday? If so, please let us know when and where so that we can direct volunteer and client inquiries your way.

Question Title

Question Title

* Did your agency use or distribute any product from MANNA during the month of OCTOBER 2013?

* Your name and the best way to reach you.
(Include email, phone #, where available)