SNAP Client Survey |
SURVEY INFORMATION/PARTICIPANT CONSENT
SECTION 1: SURVEY LANGUAGE
SECTION 2: CLIENT INFORMATION
SECTION 3: CLIENT ACCESS TO COMMUNICATIONS AND TRANSPORTATION
SECTION 4: SNAP ENROLLMENT
SECTION 5: PUBLIC AID OFFICE LANGUAGE
SECTION 6: PUBLIC AID OFFICE VISITS
SECTION 7: MANAGE MY CASE
SECTION 8: DHS HOTLINE
SECTION 9: DEMOGRAPHIC INFORMATION
SECTION 10: DISABILITY STATUS
The purpose of this survey is to improve customer service provided by public aid offices to individuals receiving SNAP benefits. This is a research project being conducted by the Greater Chicago Food Depository and the Shriver Center on Poverty Law. You are invited to participate in this research project because you receive SNAP benefits or have received SNAP benefits in the past.
Your participation in this survey is completely voluntary. If you choose not to participate, there will not be any negative consequences. Your receipt of SNAP benefits will not be affected by your decision to participate in this survey. If you decide to participate in the survey, you may skip any question you do not wish to answer and you may stop the survey at any time.
Participation in this survey will take about 15 minutes. The process involves completing the survey on paper or online.
To thank you for your participation in this survey, you will be entered into a raffle with a 1 in 15 chance of winning a $50 gift card. The raffle drawing will be held once per month. You must provide us with your phone or email so that we can notify you if you have won.
The Food Depository and Shriver Center do not work for the government and will keep your responses to the survey confidential. Your survey responses will be kept separate from your name and contact information. Your name and contact information will only be used to conduct the raffle and will be deleted as soon as the raffle winner is drawn.
If you have any questions about this survey, you may contact Claudia Rodriguez, Senior Manager of Public Benefits Outreach at the Greater Chicago Food Depository: 773-843-5416.
SECTION 1: SURVEY LANGUAGE
SECTION 2: CLIENT INFORMATION
SECTION 3: CLIENT ACCESS TO COMMUNICATIONS AND TRANSPORTATION
SECTION 4: SNAP ENROLLMENT
SECTION 5: PUBLIC AID OFFICE LANGUAGE
SECTION 6: PUBLIC AID OFFICE VISITS
SECTION 7: MANAGE MY CASE
SECTION 8: DHS HOTLINE
SECTION 9: DEMOGRAPHIC INFORMATION
SECTION 10: DISABILITY STATUS
The purpose of this survey is to improve customer service provided by public aid offices to individuals receiving SNAP benefits. This is a research project being conducted by the Greater Chicago Food Depository and the Shriver Center on Poverty Law. You are invited to participate in this research project because you receive SNAP benefits or have received SNAP benefits in the past.
Your participation in this survey is completely voluntary. If you choose not to participate, there will not be any negative consequences. Your receipt of SNAP benefits will not be affected by your decision to participate in this survey. If you decide to participate in the survey, you may skip any question you do not wish to answer and you may stop the survey at any time.
Participation in this survey will take about 15 minutes. The process involves completing the survey on paper or online.
To thank you for your participation in this survey, you will be entered into a raffle with a 1 in 15 chance of winning a $50 gift card. The raffle drawing will be held once per month. You must provide us with your phone or email so that we can notify you if you have won.
The Food Depository and Shriver Center do not work for the government and will keep your responses to the survey confidential. Your survey responses will be kept separate from your name and contact information. Your name and contact information will only be used to conduct the raffle and will be deleted as soon as the raffle winner is drawn.
If you have any questions about this survey, you may contact Claudia Rodriguez, Senior Manager of Public Benefits Outreach at the Greater Chicago Food Depository: 773-843-5416.