Healthcare Workers' Meals for Morale (restaurant responses)
The following survey will help identify and create a directory of restaurants that would like to donate meals to healthcare workers and critical staff (ex. janitorial/sanitation services) on the front lines of this pandemic.
This survey does not guarantee that your restaurant will be matched to a healthcare team, rather it is a directory to assist in connecting each other during this time of need.
After completion of this survey, you will then receive a confirmation email, and be able to edit your responses. Your responses will be added to a directory, you will be able to change your answers and remove your contact information once you have completed a donation so that more people do not reach out to you.
Primary contact name
Address/Location (Address, City, Zip)
# of meals your restaurant would be willing to provide (#)
Any # of meals that your organization can contribute is hugely appreciated! Teams are sometimes as small as 5 (example: overnight teams, janitorial staff on a floor, teams of ER physicians) and as large as 70+ (ICU floor physicians, nursing staff, coordinators, social work). Any and all donations would be appreciated.
Type of food or cuisine
Can you provide delivery?
Yes, we can deliver to the hospital
No, we will need someone to coordinate pick-up
Do you have a preference on which hospital/group this donation will go to?
Preferred date(s) for donation (e.g. 4/2/20)
Preferred time(s) for donation drop-off/pick-up (e.g. 12:00pm)
For returning restaurant owners ONLY who have completed their donation: Where did you complete your delivery? If you do not want to be contacted anymore, delete your phone # OR write DO NOT CONTACT here.
A copy of your responses will be emailed to the address you provided.
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