Brown County Food Pantry Statistics
Please use this form to enter your quarterly statistics for UW-Extension Brown County's Food Pantry Database. Please skip any questions which are not applicable or for which you do not have information. If you have any questions about this form, please contact our office at 920-391-4606.
Sign in to Google to save your progress. Learn more
Email *
These statistics are for the month of *
These statistics are for the year *
Enter your first and last name *
Enter your daytime phone number *
Select the name of the food pantry *
Households served *
Adults Served
Children and infants served
Lbs. of donated fresh produce recieved
Of these donations, how many pounds were specified as being part of Planting for a Purpose?
Has anyone mentioned Planting for a Purpose when they've donated garden produce? If so, how many people?
Dollar amount the pantry spend on food
Dollar value of food donation received
OTHER FOOD DONATIONS: Use this space to provide any additional information you want to include about food donations received for the month.
Use this space to include any additional comments.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UW-Madison Google Workspace. Report Abuse