JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Community Food Project
Preliminary
Survey 2025
RADSc Community Food Project
Sign in to Google
to save your progress.
Learn more
* Indicates required question
PRIZE DRAW TO ENTER AT END OF SURVEY
Section 1: Demographic Information
1. Age:
*
18 - 24
25 - 35
36 - 49
50 - 64
65 +
2. Gender:
*
Male
Female
Other
Prefer not to say
3. How many adults live in your household?
*
1
2
3
4
5
Other:
4. How many children live in your household ?
*
0
1
2
3
4
5
Other:
5. Suburb:
*
Rosewood
Walloon
Thagoona
Marburg
Ashwell
Calvert
Grandchester
Ebenezer
Mount Walker
Other:
6. Employment Status:
*
Full-time
Part-time
Casual
Self-employed
Student
Pensioner
Retired
Unemployed
Section 2: Food Access and Availability
7. How often do you have enough food for all household members?
*
Always
Often
Sometimes
Rarely
Never
8. In the past 12 months, did you or anyone in your household go without eating for a day due to lack of food or money?
*
Yes
No
9. Are there times of the year when it is harder to get enough food?
*
Yes
No
If yes, when?
select all that apply
Christmas
Back to school
Easter
Other:
10. Where do you primarily get your food ? (Select all that apply)
*
Grocery store
Local Market
Home garden
Food bank/ food support service
Community/school programs
Other:
Required
11. How far is the nearest reliable food source (e.g., market or grocery store)?
*
Less than 1 km
1-5 km
More than 5 km
Section 3: Food Production and Self-sufficiency
12. Do you raise any animals for food ?
*
Yes
No
If yes, which animals? (select all that apply?)
Chickens
Goats
Cows
Pigs
Other:
13. Do you grow your own food?
*
Yes
No
If yes, what do you grow? (select all that apply?)
1-2 variety of Fruits
1-2 variety of Vegetables
1-2 variety of Herbs
3 or more variety of Fruits
3 or more variety of Vegetables
3 or more variety of Herbs
Other:
14. What percentage of your household's food is produced by you?
*
0%
1-10%
11-25%
26-50%
51-75%
76-100%
15. What challenges do you face in producing your own food? (select all that apply?)
*
Lack of land
Lack of water
Lack of tools/resources
Lack of knowledge/training
Pests or disease
Other:
Required
Section 4: Nutrition and Food Quality
16. How many servings of fruits and vegetables does your household consume daily?
*
0-1
2-3
4-5
More than 5
17. Do you feel your household eats a balanced and nutritious diet?
*
Always
Often
Sometimes
Rarely
Never
Section 5: Community Support and Resilience
18. How do you feel your household is coping with cost of living pressures?
*
Unable to Cope
1
2
3
4
5
Thriving financially
19. Are there any food-sharing or community gardens in your area?
*
Yes
No
Not sure
20. Would you be interested in participating in a community food garden?
*
Yes
No
Maybe
21. What kind of support would help improve your household's food security? (select all that apply)
*
Budget building program
Cooking classes
Training for growing food
Access to seeds/tools
Access to land
Better food markets
Food aid/hampers
Other:
Required
22. Have you ever received food assistance (e.g., free or reduced-cost food hamper or food voucher)?
*
Yes
No
If yes, from where? (select all that apply?)
Rosewood Community Centre RADSc
Marburg Pop-up RADSc
Walloon Pop-up RADSc
St Vincent De Paul Rosewood
Ipswich Foodbarn
Goodness Enterprises Community Food Co-Op
Other:
23. Do you feel your community has resources and supports to help cope with cost of living pressures?
*
Yes
No
Unsure
Section 6: Final thoughts
24. In your opinion, what can be done to improve food security in your community?
Your answer
ENTER THE DRAW TO WIN A HAMPER PRIZE
Would you like to go in the draw to win a hamper prize pack for completing this survey?
If yes, please enter your contact information below.
Your survey responses will remain anonymous and will not be linked to your contact details.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report