• HOME-DELIVERED MEALS PROGRAM  

    PARTICIPANT SATISFACTION SURVEY
  •  Directions: Please answer the questions below by placing an X beside your best answer.  If you have difficulty, please ask a friend or family member to help you. If you have anything else you want us to know, please write it at the end of the last page or on a separate sheet of paper.

  • Here is a list of goals that home-delivered meals program try to meet. Please rate the program on each goal below.

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  • If there are any foods you would like to see added to the menu or taken off the menu at your program, please list them below

  • If you receive information about nutrition, please check the best answers below to tell us how you use it.

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  • Should be Empty: