Agency Survey
Bi-Annual Survey
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Agency Name *
Accountability: Orders have been scheduled and delivered to satisfaction. *
Collaboration: Staff provides necessary communication and training to run your pantry successfully. *
Dedication: How satisfied are you with the quality of services and products offered? *
Integrity: Staff are trustworthy and set a positive example. *
Kindness: Staff are friendly and helpful. *
Respect: Questions and concerns are addressed quickly and professionally. *
What items would you like to see available for purchase? *
If you have had staff changes, please list new contact with phone number.
What are your current hours of operation? *
How many volunteers typically serve at your pantry? *
Are there any grocers/restaurants in your area that you would like to partner with? *
Do you have any capacity needs? (additional thermometers, scales, freezers, coolers, shelving) *
Additional comments/concerns
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