Soup Kitchen Membership Report

Please complete the semi-annual Soup Kitchen Membership Report. Responses are due to the Greater Chicago Food Depository no later than Friday, November 4, 2011.

1. Please fill in your name and contact information.

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Name:

 

 
   

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If you respond and have not already registered, you will receive periodic updates and communications from Greater Chicago Food Depository.

 

 

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*2.  


*3.  


*4.  


*5.
Question - Required - Per month, how many scheduled hours does this program distribute food on the weekend (Saturday and/or Sunday)?



*6.
Question - Required - Per month, how many scheduled hours does this program distribute food in the evening on weekdays (Monday-Friday after 5 p.m.)?



*7.
Question - Required - Do you (or does someone from this program) attend at least half of the scheduled meetings for the food network in your area? See list of network meetings below in question 4.



8.
Question - Not Required - If yes, which of the following food network meetings do you regularly attend?
Please make up to 10 selections from the choices below.

*9.
Question - Required - Does this program distribute fresh fruits and vegetables to clients?


*10.
Question - Required - If yes, does this program purchase or receive donated fresh fruits and vegetables from a local store, community garden, or farmers market in your community?


*11.
Question - Required - Did this program participate in the Hunger Walk on June 25, 2011?


*12.
Question - Required - Does this program participate in the Food Depository's online menu ordering?


*13.
Question - Required - In the past 6 months, has this program contacted any local elected officials about hunger (in person, by phone, email, or letters)?


*14.
Question - Required - In the past 6 months, has this program referred any clients to the Food Depository's Chicago's Community Kitchens Training Program?


*15.
Question - Required - Does this program refer clients to other organizations for services beyond food? (For example: legal assistance, healthcare, medical, community clinic, job training, housing assistance, education, food stamps, etc)


*16.
Question - Required - Does this program provide on-site services beyond distributing food? (For example: legal assistance, healthcare, medical, community clinic, job training, housing assistance, education, food stamps, etc)


17.
Question - Not Required - If yes, what services does this program provide on-site?
Please make up to 8 selections from the choices below.

18.  


   Please leave this field empty

     

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