Complete this survey to
receive $40 in shopping credits
"
*
" indicates required fields
Name
*
First
Last
Email
*
How comfortable are you shopping for the right foods to manage your family’s health?
*
1 (Not comfortable at all)
2
3
4
5 (Very comfortable)
Over the past 3 months, how often were you worried that the food you purchased would run out before you had enough money to buy more?
*
Never
Sometimes
Often
I don’t know
Over the past 3 months, how often did the food you bought not last, and you didn’t have money to get more?
*
Never
Sometimes
Often
I don’t know
Over the past 3 months, how many times did you utilize a food bank?
*
Never
1-5 times
6-10 times
11 or more times
Over the past 3 months, how many different markets, stores, pantries, or websites did you shop for groceries (including Free FromMarket.com)?
*
1
2
3
4 or more
Over the past 3 months, how much did shopping on FreeFromMarket.com reduce your financial stress related to groceries?
*
1 (Did not change my financial stress at all)
2
3
4
5 (Significantly reduced my financial stress)
How easy was it to use FreeFromMarket.com (e.g., finding products and placing orders)?
*
1 (Very difficult to use)
2
3
4
5 (Very easy to use)
How would you rate the selection of food products on FreeFromMarket.com?
*
1 (Very poor selection)
2
3
4
5 (Excellent selection)
Has your household’s overall financial situation changed since the start of the program?
*
1 (Financial situation has gotten much worse)
2
3
4
5 (Financial situation has improved significantly)
How likely are you to recommend FreeFromMarket.com to a friend or family member?
*
1 (Not likely to recommend)
2
3
4
5 (Very likely to recommend)
Please share any other thoughts or suggestions you have about FreeFromMarket.com.
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