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Appendix E.3
Pre-SNAP
Participant Survey
Web
Survey Screenshots - English
	
	
	
		| S NAP
			PARTICIPANT SURVEY | 
 | 
	
		
		
			| 
				  
					
					
					
					
						| How
							often do you usually shop for groceries? 
							 | 
 | 
							
 |  
						| 
							 More
							than once a week 
  Once
							a week 
  Once
							every two weeks 
  Once
							a month or less 
  Rarely
							make any major shopping trips, only small trips 
  Rarely
							shop for food |  
  
 | 
	
	
	
	
		
		
			| 
				  What
				is your household's usual MONTHLY expense for fruits and
				vegetables? $    
 
					
					
						| 
							 Don't
							know |  
  
 | 
	
	
 
	
		
		
			| 
				
 
 
 
   
					
					
					
					
						| 
							These
							questions are about the different kinds of fruits and
							vegetables you ate or drank during the LAST
							MONTH.
							Please think about all fruits, vegetables, and fruit juices
							that you had last month. Include those that were raw, cooked,
							eaten as snacks and at meals, eaten at home and away from home
							in restaurants, with friends, and as take-out, and eaten alone
							and mixed with other foods. 
							 |  
						| 
 | 
							Over
							the past month, how many times per month, week, or day did you
							drink 100% juice such as orange, mango, apple, grape or
							pineapple juices? Do
							not count
							fruit-flavored drinks with added sugar, like cranberry
							cocktail, Hi-C, lemonade, Kool-Aid, Gatorade, Tampico, and
							Sunny Delight. Include juice you drank at all mealtimes and
							between meals. |  
						| 
							 Never 
  Once
							a week 
  1
							to 3 times last month 
  1
							to 2 times per week 
  3
							to 4 times per week 
  5
							to 6 times per week 
  2
							times per day 
  3
							times per day 
  4
							times per day 
  5
							or more times per day | 
 |  
 | 
	
	
	
	
	
	
		| These
			questions are about the food situation in your household in the
			last
			30 days
			and whether you were able to afford the food you need. For each
			statement or question, please select one response that best
			describes your household's food situation. | 
	
		| 
 | In
			the last 30 days,
			"we worried whether our food would run out before we got
			money to buy more." Was that often, sometimes, or never true
			for your household? | 
	
		| 
 | 
			 Often
			true 
  Sometimes
			true 
  Never
			true 
  Don't
			know 
 | 
 | 
 
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Thomas Bosworth | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-20 |