I Would Like a Grocery Buddy
Welcome to the ANAD Grocery Buddy Support Service! Thank you for reaching out and requesting a Grocery Buddy for your recovery. We help train your Grocery Buddy so that they can support you best during grocery shopping, food and meal preparation, and food selection. Please fill out the application below including the name and contact information of a friend, mentor, or family member that you would like to be your Grocery Buddy. We do not pair participants with strangers. We only pair participants with someone they personally know. We require a name and contact information on this application for the person you would like to be your Grocery Buddy so that we can contact them with the training, guidelines, and disclaimers for the support service.
What is your first name? *
Your answer
What is your email address? *
Your answer
What is your phone number? *
Your answer
What state are you located in? *
Your answer
What is your age? (If you are under 18, we require a parent consent to be signed to be involved with this program!) *
Your answer
What is your gender? (We only ask to help us better understand the population that we are serving with this support service. You are not required to answer, but sharing this data with us will help us with improving the services we provide.) *
Your answer
Who would you like your grocery buddy to be? *
What is the name of the person you would like to be your Grocery Buddy? *
Your answer
What is the email address of the person you would like to be your Grocery Buddy? *
Your answer
What is the phone number of the person you would like to be your Grocery Buddy? *
Your answer
What challenges with your eating disorder recovery are you currently struggling with? *
Your answer
What kind of support do you want and need from a Grocery Buddy? *
Your answer
Why would you like a Grocery Buddy? *
Your answer
How did you hear about the Grocery Buddy Support Service? *
Your answer
If you heard about the Grocery Buddy Support Service through the internet/google, what was the search term used?
Your answer
We will notify you as soon as the ANAD Grocery Buddy Certification Training is available for your family member or friend and will also send an application you your family member or friend to fill out.
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