Grow Appalachia Demographics
Select Type of Gardener
*
Home
Market
Community
What is the size of your garden in square feet?
*
(sq. feet)
Number of People in Your Household:
*
How many people of the following age groups are in your family or household?
*
Number of
Family Members
0 – 5
1
2
3
4
5
6
7
8
9
10
6 – 15
1
2
3
4
5
6
7
8
9
10
16 – 24
1
2
3
4
5
6
7
8
9
10
25 – 40
1
2
3
4
5
6
7
8
9
10
41 – 65
1
2
3
4
5
6
7
8
9
10
65+
1
2
3
4
5
6
7
8
9
10
This is my ___ year participating in Grow Appalachia with High Rocks.
*
first
second
third
fourth
fifth or more
Are you or is another participating member of your household:
disabled
retired
previously a tobacco farmer
a veteran
a grandparent raising grandchildren
a single parent
below the national poverty line
Would you like to share any additional information with us about your household or garden?
Email
*
example@example.com
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