Family Meal Survey
If you received a Family Meal from Working Landscapes, we want to hear from you! Any meal recipient who completes this survey will have the chance to win a $40 gift certificate from On Main Southern Eatery in Warrenton. The information you provide will be valuable in helping us design future food assistance programs; we will inform you of future program opportunities that may interest you. If you have any questions about this survey, the Family Meals program, or Working Landscapes, please contact us at (252) 257-0205 or
Name (First and Last) *
Mobile phone number: *
If you do not have a mobile phone, please list another phone number at which we can reach you:
Email Address *
Birth Date *
Which Family Meal/Meals did you receive from Working Landscapes? *
Please list the location(s) where you picked up your meal(s): *
Have the Family Meals been valuable to your or your family? If so, please tell us why you have valued this program. (this can help us generate support for future programs!) *
Please give us your feedback on the meals themselves. What did you like? What do you think we should change? *
Please give us your feedback on how the meals were distributed. Did it work well for you? What could be improved? *
Are there other ways that you would like to receive local/healthy food? What kinds of food would you like to receive? Please give us any suggestions. *
Thank you very much for completing our survey!
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