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Gator Groceries Registration & Survey
All SF State students who are interested in participating in the food pantry/food cupboard for Fall 2018 are required to register through this form to access the pantry. Please note that all information required on this form will help us to provide a better service for you and all individual answers are kept confidential within Associated Students Productions.
Email address *
First and Last Name *
Student ID # *
Where do you currently live? *
During the last 12 months, was there a time when: You were worried you would run out of food because of a lack of money or other resources? *
During the last 12 months, was there a time when: You were unable to eat healthy and nutritious food because of a lack of money or other resources? *
During the last 12 months, was there a time when: You ate only a few kinds of foods because of a lack of money or other resources? *
During the last 12 months, was there a time when: You had to skip a meal because there was not enough money or other resources to get food? *
During the last 12 months, was there a time when: You ate less than you thought you should because of a lack of money or other resources? *
During the last 12 months, was there a time when: You ran out of food because of a lack of money or other resources? *
During the last 12 months, was there a time when: You were hungry but did not eat because there was not enough money or other resources for food? *
Select which best describes access to a local grocery store: *
Do you currently qualify and/or participate in any of the following? *
Required
If none, would you be interested in learning more about how to register for Calfresh or other additional off-campus resources for food access? *
Which of these do you have access to? *
Required
How did you hear about the food pantry? Check all that apply *
Required
What program(s) are you a member of? Check all that apply *
Required
Did you experience any hesitation signing up for this program? *
Required
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