Hamilton Co Community Needs
This survey is meant to get a better idea of what our community needs, where they have the most need, and how we can deliver mutual aid most effectively to our neighbors. This form is completely anonymous. We will be reaching out to the community later with a way to collect the appropriate information to deliver aid directly once we have collected enough information. PLEASE FEEL FREE TO SHARE THIS WITH ANYONE YOU KNOW IN HAMILTON CO (or very close) WHO MAY BE FOOD INSECURE
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Where in the Hamilton Co area are you location?  *
Which of these items would benefit you in a grocery box? Check all that apply. *
Required
Are you able to cook? *
Which of these do you have regular access to where you live? (Check all that apply) *
Required
How many people are in your household? *
Do you have children living with you? Check all that apply. *
Required
Do you have pets? Check all that apply. *
Required
Do you have access to regular transportation to get to places like grocery stores, the doctor's, etc? *
Do you have access to food banks and pantries in your area? *
Do you have any dietary restrictions? Check all that apply *
Required
Any additional comments or things you would like to see addressed or taken into consideration?
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