2025 Veggie Rx Census

2025 Veggie Rx Census Survey
Email
example@example.com
Name

First NameLast Name
1. What is the name of your program?
2. How long has your program been in operation? Since
3. Which county/counties does your program serve?

Other
4. What are the screening/eligibility requirements for program participation? Select all that apply.

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?

Other
8. Where can participants redeem their benefits?

Other
9. Where do you obtain funding from?

Other
10. Would you like your program name and information listed on the OCFSN Veggie Rx working group landing page?
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.
Should be Empty:

2025 Veggie Rx Census Survey