Personal Protective Equipment for Food Sites
The Food Access Coordination team is collecting information around what personal protective equipment is needed to help serve emergency food in Austin / Travis County.

While there is no guarantee that the need can be fulfilled, this information will be provided to advocate and connect needs and resources where available.
Email address *
Name *
Phone Number *
Organization Name *
How many clients do you serve on a weekly basis? *
Brief description of services provided? *
For the next questions, please identify the types and quantity of PPE that you need for the next 30 days:
DIY masks (Please list quantity needed for the next 30 days)
Hand Sanitizer (Please list quantity needed for the next 30 days)
Gloves (Please list quantity needed for the next 30 days)
Other (Please describe and list quantity needed for the next 30 days)
Additional comments
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy