Food Delivery Service Survey by v4k8BEb2

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									                   Food Delivery Service Survey/Interview

Please take a moment to fill out this survey. Your answers will help us design more
effective programs. Your answers are confidential.


Program Name: _____________________________


1. Date:_______________


2. How would you rate the quality of this food delivery service? (check one)

    Very poor
    Somewhat poor
    Somewhat good
    Very good
3. How helpful is this food delivery service? (check one)

    Not helpful at all
    Somewhat helpful
    Very helpful
    Extremely helpful
4. Do you feel that this food delivery service allows you to eat more nutritious meals
   that you would otherwise eat? (check one)

    No
    Yes, it allows me to eat somewhat more nutritious meals.
    Yes, it allows me to eat much more nutritious meals.
5. Do you think this food delivery service allows you and/or your family to take better
   care of your health? (check one)

    No
    Yes, it allows me and/or my family to take somewhat better care of our health.
    Yes, it allows me and/or my family to take much better care of our health.

6. What do you like most about this food delivery service?



7. Is there anything about this food delivery service that you feel should be changed?



   Developed by Volunteer Maryland (AmeriCorps Program) in conjunction with Project STAR
                                           6
                Food Delivery Service Survey/Interview




Developed by Volunteer Maryland (AmeriCorps Program) in conjunction with Project STAR
                                        6

								
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