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Food support intake

A dignified, short intake for people asking for food support: household size, dietary needs and pick-up preference.

About 3 min to complete. food bank, support, nonprofit, intake.

Use this template

Questions in this template

  1. What should we call you?
  2. How many people are in your household?
  3. Dietary needs
  4. How would you like to collect?
  5. Best number to reach you

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Asking for help is fine.

We keep this simple and private. There are no judgments here.
Takes about 1 minute
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