Fall 2026 Rail Yards Veggie Box: Feeding Seniors & Families
This survey is for enrolled Seniors who have received their weekly veggie box.

Thank you for being a part of the Rail Yards Market's Project Dash: Produce for Seniors caring for Children!

Please submit this survey before Thursday at 5pm each week. The survey should take less than 5 minutes to complete.

¡Gracias por ser parte del Proyecto Dash de Rail Yards Market: Productos Gratis para Personas Mayores!

Envíe esta encuesta antes del jueves a las 5 p.m. cada semana. La encuesta debería tardar menos de 5 minutos en completarse. 

If you need help with your order or have individual questions please email Alvarenga@railyardsmarket.org

SURVEYS ARE ANONYMOUS. Answers and data are used to comply with municipal funder reporting requirements, and shared publically. Please DO NOT enter personal info or questions in comments box // LAS ENCUESTAS SON ANÓNIMAS. Por favor, NO ingrese información personal ni preguntas en el cuadro de comentarios.
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Demographic *
Please check all that apply to your household / Por favor haga clic 
Required
Location *
How did you get your Produce this week?
Como agarró su caja de verduras esta semana? 
Required
Zipcode *
New or Returning? *
ALL in Fall 2026 should select "NEW" / TODOS en agosto deben seleccionar “NUEVO”

Is this your first Veggie Box in Aug-Dec 2026, or are you returning?
Es su primera caja de verduras en Aug-Dec 2026, o está regresando?
# Children in Household *
Children number in household?
Cuantos niño/as en casa?
How satisfied are you with the services you received? ¿Qué tan satisfecho(a) está con los servicios que recibió? *
(1) Very Dissatisfied/Muy Insatisfecho(a)  / (2) Dissatisfied/Insatisfecho(a)  (3) Neither/Ni / (4) Satisfied/Satisfecho(a) / / (5) Very Satisfied/Muy Satisfecho(a)
1=Very Dissatisfied (Muy Insatisfecho(a))
5=Very Satisfied (Muy Satisfecho(a))
How important are the services for your quality of life?¿Qué tan importante es este servicio para su calidad de vida?   *
(1) Very Dissatisfied/Muy Insatisfecho(a)  / (2) Dissatisfied/Insatisfecho(a)  (3) Neither/Ni / (4) Satisfied/Satisfecho(a) / / (5) Very Satisfied/Muy Satisfecho(a)
1=Very Dissatisfied (Muy Insatisfecho(a))
5=Very Satisfied (Muy Satisfecho(a))
Did the services you receive improve your overall quality of life?  *
¿Este servicio que recibe mejora su calidad de vida en general? 
Did the services you receive give you more independence? *
¿Este servicio que recibe le brinda más independencia? 
Did the services you receive enable you to continue to live at home? *
¿Este servicio que recibe le permite continuar viviendo en casa?  
Did the services you receive allow you to feel less isolated? *
¿Los servicios que recibe le permiten sentirse menos aislado(a)?  
Anything else you'd like to tell us? Ques Mas?
If you need help with your order or have individual questions please email Alvarenga@railyardsmarket.org
SURVEYS ARE ANONYMOUS. Answers and data are used to comply with municipal funder reporting requirements, and shared publically. Please DO NOT enter personal info or questions in comments box // LAS ENCUESTAS SON ANÓNIMAS. Por favor, NO ingrese información personal ni preguntas en el cuadro de comentarios.
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