Feedback Form – FoodBank Program Please take a few minutes to complete this feedback form to help us improve our Foodbank program. Please enable JavaScript in your browser to complete this form.Name *PhoneEmailHow did you hear about our foodbank program? *Friends/Family referralWalk-inSocial mediaReferral by another agencyOther (please specify)Referral by another agency (please specify)Other (please specify)How long have you been patronizing our Foodbank program? *Less than 3 monthsMore than 3 months, less than 6 monthsMore than 6 monthsHow often do you visit our Foodbank for a hamper? *WeeklyBi-weeklyMonthlyOther (please specify)Other (please specify)How satisfied are you with a hamper and other items distributed? *Not satisfiedSomewhat satisfiedVery satisfiedHow likely are you to recommend our foobdank to others? *Not likelySomewhat likelyVery likelyWhich of these should be included in a hamper? *Canned foodFrozen foodDry foodVegetablesFruitsBaby item (food, diapers, wipes, etc)Pet foodOther (please specify)Other (please specify)What do you like about our Foodbank program? *What can our Foodbank improve on? *Submit
