Community Kitchen Project

This survey is to help us identify the need for any meal services for Collingwood and the surrounding area. Please circle any answers that apply.

Part 1: Getting to know you

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* 1. Gender

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* 2. Age Group

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* 3. Where do you live?

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* 4. Do you currently use a community meal service?

Yes

If yes, please tell us when it is and where it is held.

Part 2: Financial Support

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* 5. Type of Income

Employed Part Time

Employed Full Time

Ontario Works

Disability Supports

Canada Pension

Old Age Security

No Source of Income

Other

If other, please tell us what it is

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* 6. Do you have financial difficulty regarding food or housing?

Yes

Part 3: Community Need

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* 7. Would you use a community meal service?

Yes

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* 8. If you answered yes to the previous question, what time of year would you like to see a community meal service accessible?

Winter

All Year Round

Other

If other, please explain.

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* 9. Which community would you use the community meal service in?

Collingwood

Wasaga Beach

Clearview/Stayner

Grey County

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* 10. Would you be able to pay for a meal?

Yes

If yes, what price range would you pay for a meal?

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* 11. How often would you use the community meal service?

Less than once a month

Few times a month

Once a week

As often as possible

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* 12. Where would the most accessible place be for this service?

Downtown

Other

If other, please state a location.

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* 13. What type of food service best suits your need?

Lunch

Dinner

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* 14. Generally you would prefer

Take out

Eat In

Part 4: Community Involvement

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* 15. Would you be willing to volunteer with the community meal service?

Yes

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* 16. Would you join as a member to assist with operation of the community meal service?

Yes

Thank you for taking the time to fill out this survey! We truly appreciate your feedback.

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* 1. Gender

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* 2. Age Group

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* 3. Where do you live?

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* 4. Do you currently use a community meal service?

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* 5. Type of Income

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* 6. Do you have financial difficulty regarding food or housing?

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* 7. Would you use a community meal service?

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* 8. If you answered yes to the previous question, what time of year would you like to see a community meal service accessible?

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* 9. Which community would you use the community meal service in?

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* 10. Would you be able to pay for a meal?

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* 11. How often would you use the community meal service?

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* 12. Where would the most accessible place be for this service?

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* 13. What type of food service best suits your need?

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* 14. Generally you would prefer

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* 15. Would you be willing to volunteer with the community meal service?

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* 16. Would you join as a member to assist with operation of the community meal service?

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* 17. If you have an other additional comments please feel free to share