Pueblo County Residents Survey

 
Dear Pueblo County Resident:


Pueblo City-County Health Department is conducting a survey of Pueblo County residents and we need your help! We want to know where you purchase your food, what foods you like to eat and why, and whether or not you want to eat more locally grown food.

This survey will take about 8-10 minutes. Please respond to every question in the survey. Note that you will have the option to answer questions by selecting the "choose not to respond" answer choice.

Anyone completing the survey prior to May 17th can be entered into a drawing for a $25 gift card to a local grocer or market (we have several of them!).

All survey information is confidential and your name will not be associated with your responses. To enter the drawings for the gift card you must provide your name and phone number or email address at the end of the survey. This will be kept separate from the survey information.

If you have any questions about this survey please contact:
Christina Hopewell
Public Health Educator
Pueblo City-County Health Department
719-583-4481
hopewellc@co.pueblo.co.us
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1. Was this survey completed by hardcopy (on paper) instead of online?
2. If you answered yes to the previous question, please select the correct method of completion below.
*
3. What is your home zip code? (check only one)
*
4. What city, town, or region do you live in? (check only one)
*
5. Where do you get most of the FOODS you or your family eats?
Please pick up to 3, with #1 being where you go the most often.
#1#2#3
Fast food restaurants
Other restaurants
Work place and public cafeterias
Senior center
Food assistance (food bank, pantry, churches, donations from other sources)
Meal delivery program (Meals on Wheels, etc.)
Large chain grocery stores (Walmart, Safeway, King Soopers, etc.)
Independent local grocery stores (Valley Market, Beulah General Store, T.R.'s Country Store)
Wholesale store (Costco, Sam's Club, etc.)
Convenience stores/gas stations (Loaf N'Jug, 7-Eleven, Shell, etc.)
Natural food store
Direct from meat processor/ranch
Online purchases
I grow/make/hunt my food
Other
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6. Where do you usually get most of your FRUITS AND VEGETABLES (fresh, canned, or frozen)?
Please pick up to 3, with #1 being where you get most of them.
#1#2#3
Work place and public cafeterias
I grow/make/hunt my food
Convenience stores/gas stations (Loaf N'Jug, 7-Eleven, Shell, etc.)
Senior center
Meal delivery program (Meals on Wheels, etc.)
Direct from meat processor/ranch
Large chain grocery stores (Walmart, Safeway, King Soopers, etc.)
Independent local grocery stores (Valley Market, Beulah General Store, T.R.'s Country Store)
Online purchases
Fast food restaurants
Other restaurants
Wholesale store (Costco, Sam's Club, etc.)
Natural food store
Food assistance (food bank, pantry, churches, donations from other sources)
Other
*
7. Where would you like to get MORE of your fruits and vegetables?
Please pick up to 3 with #1 being your top pick.
#1#2#3
Grow/make/hunt more food
Convenience stores/gas stations (Loaf N'Jug, 7-Eleven, Shell, etc.)
Food assistance (food bank, pantry, churches, donations from other sources)
Fast food restaurants
Other restaurants
Meal delivery program (Meals on Wheels, etc.)
Direct from meat processor/ranch
Large chain grocery stores (Walmart, Safeway, King Soopers, etc.)
Work place and public cafeterias
Online purchases
Independent local grocery stores (Valley Market, Beulah General Store, T.R.'s Country Store)
Natural food store
Wholesale store (Costco, Sam's Club, etc.)
Senior center
Other
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