HeySurvey survey

Food Access & Meal Experience Survey 🌾

In the past 30 days, how often did you worry that your food would run out before you had money to buy more?*

Think about your household’s food situation over the last month.

Never
Rarely
Sometimes
Often
Very often

How many meals do you usually eat in a day?*

Please choose the option that best matches your usual routine.

1 meal
2 meals
3 meals
More than 3 meals
It varies a lot

In the past 30 days, did you skip meals because there was not enough money for food?*

This helps us understand how often food costs affect daily eating habits.

No
Yes, once or twice
Yes, a few times
Yes, often

What are the main challenges that make it harder for you to get enough food?

Select all that apply.

Food prices are too high
Not enough income
Transportation problems
Limited time to shop or cook
Health or mobility issues
Stores with healthy food are too far away
I am supporting many people in my household
Other

In the past 30 days, how often did you eat less than you felt you should because there was not enough money for food?*

Choose the answer that feels closest to your experience.

Never
Rarely
Sometimes
Often

How confident do you feel about being able to afford enough food next month?*

Please rate your current level of confidence.

1

2

3

4

5

Not at all confident to Very confident

Which types of support would help you most with food access?

Select all that apply.

Grocery vouchers or food assistance
Free or low-cost meals
Better transportation to stores
Budgeting or meal planning support
More nearby stores with affordable food
Help applying for benefits
Flexible work hours or schedule support
Other

Is there anything else you would like to share about your food situation or needs?

Your response can help give more context to your experience.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.