Distribution Partner Monthly Report 2020

Distribution Partner Monthly Reporting Form

Updated 7/13/2020
Partner Information
1. Partner Name & Number *
Begin Typing then select your Partner Name
2. Type of Feeding Program

Pantry or CDP Soup Kitchen / On-Site
Report for (month/year)
3. Month *
Year *
Soup Kitchen/On-Site
Pantry/CDP Program
Pantry Reporting - Household served
4. How many total days did you distribute this month? *
This would be the number of days that you were actually open to the public and served clients. Please do not count any one-off days (Ex: you served a walk in or served a shut in)
5. How many UNIQUE households served this month? *
Based on intake forms. Only count each household once. Number of households served (Families)
6. How many total households served this month?
If you only served food once in the month, this number should be the same as question #5. This number is based on sign in sheets, and can reflect the same household more than once. Count all the visits, including repeat households served
7. How many new households served this month? *
First time households to your pantry

Total number of MEALS served during the month
(not including supplemental snacks)

How many total clients, by age group, did you serve this month? (only count per individual Household based on #5)

Distribution Partner Monthly Reporting Form