Same Canoe Local Food Challenge Pledge!
Set Your Local Food Challenge Intention *
Check one or both boxes
Required
Name: *
Your answer
Community where you live: *
Your answer
Email: *
Your answer
1) My household purchases most of its fresh produce from (name retailers):
Your answer
2) Locally grown food is about ___% of the fresh food I eat.
Please write the % (percentage) of your total fresh food that comes from locally grown sources.
Your answer
3) I access fresh LOCAL GROWN foods from:
Check all boxes that apply (If "other", then please tell us more.)
a) My household purchases ____% of it's fresh food from the Grocery Store.
Your answer
b) My household purchases ____% of it's fresh food from the Farmer's Market.
Your answer
c) My household purchases ____% of it's fresh food from the Farm Stands / Farm Trucks.
Your answer
d) My household receives ____% of it's fresh food from Friends.
Your answer
e) My household uses ____% of it's fresh food from our Home Garden.
Your answer
f) My household gets ____% of it's fresh food from the Food Pantry.
Your answer
g) My household purchases ____% of it's fresh food from Ranches/Fishermen.
Your answer
h) My household purchases ____% of it's fresh food from Other Sources.
Your answer
4) My favorite local food cafes and restaurants are:
Your answer
5) Check any health improvements of interest in your home that you think might be helped by adding more fresh food to you diets:
6) Check broader community impacts of purchasing local food that you consider valuable:
7) I plan to DOUBLE my locally grown food use this year
8) There are ____ people in my household (including myself) who will be doubling their local food support. *
Your answer
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