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1
Are you a client of the Burlington Food Bank?
Yes
No
Other
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2
Type a question
If you feel comfortable, Please explain why you haven't accessed Burlington Food Bank.
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3
In the past 12 months, how often have you or your household worried about running out of food before having money to buy more?
Never
Sometimes
Often
Very often
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4
Are you aware of any other individuals or families who would benefit from the services provided by the Burlington Food Bank?
Yes
No
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5
Would you be willing to volunteer or donate to support the food bank in the future?
Yes
No
Maybe in the future
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6
What are your biggest barriers when accessing the Burlington Food Bank?
I don't experience any barriers
Physical barriers (e.g., stairs, lack of ramps)
Limited hours of operation
Long wait times
Distance from home
Stigma associated with using a food bank
Food does not meet my dietary, religious, or culture needs
Disability related barriers
I don't have reliable transportation
Other
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7
How do you typically travel to the Burlington Food Bank? (Please select all that apply)
Walk
Bicycle
Personal car
Carpool with friends or family
Public transportation
Ride-share service (Uber, Lyft)
Taxi
Other
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8
How likely are you to recommend the Burlington Food Bank to others based on your experience with the staff and volunteers?
Very likely
Neutral
Unlikely
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9
Are there any specific accommodations or modifications that would make your visit easier?
No
Yes (select all that apply)
Wheelchair ramps
Interpreters
Assistance with carrying food items
Other
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10
How can we make the Burlington Food Bank a more welcoming and inclusive space for the community?
Providing space for community gatherings or events
Hiring staff and volunteers from diverse backgrounds
Implementing a feedback system for suggestions and concerns
Other
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11
If you would like us to follow up with you regarding your feedback, please provide your contract information below:
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