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Meal Feedback Survey
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What is the name of the organization you received these meals from?
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Compass Family Services
Hamilton Families
UCSF Food Pharmacy
Mission Food Hub
Conard House
Booker T Washington
18 Reasons
Ronald McDonald House @ UCSF Children's Hospital
FIve Keys
Other
If in a residential site please specify the name of your residence.
Your answer
Which meal(s) did you receive?
*
Jerk Chicken, Slaw, and Yams
Chicken Pesto Pasta Salad
Red Beans and Rice
Beef Stew with Cactus (Carne con Nopales) and Rice
Steak Fajitas and Spanish Rice
Cheeseburger Macaroni and Cheese
Green Chicken Curry
Enchiladas with Grilled Vegetables and Black Beans
Roasted Chicken with Fall Vegetables and Brown Rice
Ginger Scallion Noodles with Steak
Hot Dog w/ Potato Salad
Achiote Chicken w/ Vegetables and Rice
Lomo Saltado
Pollo en Salsa Verde
Orzo Salad w/ Roasted Veggies
Chicken Teriyaki
Chicken Fajitas
Pipian De Pollo
Sweet Chili Chicken Noodles
Breakfast Meals
Other:
Required
Overall, how would you rate the quality of your meal(s)?
*
Horrible. Would not eat again!
1
2
3
4
5
6
7
8
9
10
Excellent. Send it every time!
Do you have any additional feedback to provide about your meal(s)?
Your answer
Are there any meals/dishes you would like to see?
Your answer
I worry where I will find good food:
Daily
Sometimes
Rarely
Never
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I am able to eat filling, nutritious meals:
Daily
Weekly
Rarely: this is one of the only good meals I get
Never
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