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FWHC Client Survey
We value your feedback! Please help us improve our services by answering the following questions. All responses are confidential.
How did you hear about us?
*
Friend or family
Social media
Search engine
Flyer or poster
Community event
Referral
Other
Service Use
Is this your first time receiving services from FWHC?
*
Yes
No
If not, how often do you receive services from FWHC?
Onsite:
Please Select
Weekly
Monthly
Less often
Mobile Pantry:
Please Select
Weekly
Monthly
Less often
Program Feedback
In what ways has our grocery service benefited you and your family?
*
Which grocery items would be most helpful for your household?
*
Which services would be most beneficial to your community?
*
Rent/Utility Assistance
Job placement/job search assistance
Job training
Entrepreneurship
Financial literacy
Computer literacy
Health services
Dental services
Pet services
Counseling/mental health services
Other
If 'Entrepreneurship' is selected, please specify.
If 'Job training' is selected, please specify the type of training:
*
Logistics
Warehouse, Forklift
CDL
Auto mechanics
HVAC
Other
If there are any barriers to accessing us or our services, please describe them.
Household Information
What is your estimated annual household income range?
*
Please Select
Under $25,000
$25,000 - $50,000
Above $50,000
Prefer not to say
How many adults (18 or older) live in your household?
*
How many children (18 or younger) live in your household?
*
Submit Survey
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