Lyft Los Angeles Grocery Access Program
Everyone deserves access to healthy, nutritious food. So we’ve partnered with local nonprofits, grocery stores, and farmers markets to provide Angelenos in need with discounted Lyft rides to and from area grocery stores, food pantries and farmers markets. Eligible participants receive 6 rides per month at $2 each* to and from participating locations.

**REGISTRATION IS CLOSED**

Learn more at lyft.com/city/grocery-access
Email address *
What is your first and last name? *
Your answer
What is your home pantry site? *
Do you have the Lyft app downloaded to your phone? *
What is the cell phone number associated with your Lyft account? *
If you don’t have a cellphone, please provide the number and owner’s name for the phone you’ll be using.
Your answer
Including yourself, how many people live in your household? *
Your answer
How often do you buy groceries? *
What type of transportation do you typically use to travel to grocery stores? *
Required
On an average shopping trip, how many minutes do you spend traveling to the grocery store? *
Your answer
In the last month: How often did you buy fresh (not canned) or frozen vegetables? *
In the last month, how often did you buy fresh (not canned) or frozen fruit? *
In the last six months, how often have you gone without fresh fruit or vegetables to pay for other necessities? *
What is your household’s average monthly grocery bill (including transportation costs)? *
Your answer
Is there anything you'd like to share with Lyft and St. Francis Center?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Lyft. Report Abuse