2025 Veggie Rx Census Survey
Email
example@example.com
Name
First Name
Last Name
1. What is the name of your program?
2. How long has your program been in operation? Since
Please Select
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
Before 2010
3. Which county/counties does your program serve?
Baker
Benton
Clackamas
Clatsop
Columbia
Coos
Crook
Curry
Deschutes
Douglas
Gilliam
Grant
Harney
Hood
Jackson
Jefferson
Josephine
Klamath
Lake
Lane
Lincoln
Linn
Malheur
Marion
Morrow
Multnomah
Polk
Sherman
Tillamook
Umatilla
Union
Wallowa
Wasco
Washington
Wheler
Yamhill
Other
4. What are the screening/eligibility requirements for program participation? Select all that apply.
Food insecurity
Income threshold
SNAP enrollment
Diet-related illness diagnosis
Biometrics
HRSN
Other
5. What is the maximum capacity of participants your program can serve per year?
6. How many individuals did your program serve in 2024? Please share details if capacity is in a different unit of measurement like a household or other.
7. How do participants redeem their benefits?
Paper vouchers
Debit card
Tokens
Other
8. Where can participants redeem their benefits?
Farmers Market
CSA
Grocery Stores
Farm Stand
Other
9. Where do you obtain funding from?
Coordinated Care Organization (CCO)
GusNIP Grant
Other federal funding
Private grants
Other
10. Would you like your program name and information listed on the OCFSN Veggie Rx working group landing page?
Yes
No
If yes to the previous question, please provide the following details: Information for interested new participants, including how to join and who to contact. Info for Community Partners, how to provide benefits to your patients and who to contact. Info for Farmers who might want to provide produce to programs and who to contact.
Please share any other relevant information about your program.
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