Keep Putnam Farming Survey The Putnam County Agriculture and Farmland Protection Board and Glynwood thank you for your willingness to participate in the Keep Putnam Farming Residents Food Survey. We are interested in learning more about how Putnam County residents shop for food. Where do you live in Putnam County*Who is the primary shopper in your household?*I am the primary shopperSomeone else is the primary shopperI share the shopping equally with othersHow many people, including yourself, currently live in your household?*Number of AdultsNumber of children under the age of 18*Your Age?*18-24 years25-34 years35-49 years50-64 years65-74 years75 + yearsAverage Household Income*< $20,000 $21,000-$35,000 $36,000-$50,000$51,000-75,000 $75,000-$99,999 More than$100,000If you are not sure, please make your best guess. On average, how much do you spend weekly on food items only not including food you purchased at restaurants?*Less than $50$51-100$101-150$151-200$201-250 More than $250If you are not sure, please make your best guess. Note:The following are some questions about whether or when you buy local food. For the purposes of this survey, we are defining “local food” or “locally grown food” as food that is grown or produced in the Putnam County. This may include produce, meat and poultry, dairy, grains, or anything produced from ingredients grown in the Putnam County. Below is a list of places where you can get food in our area. Please check the box that shows about HOW MANY TIMES PER MONTH you get food at the following places. Large supermarkets, such as A&P or Shop Rite*5 or more times4 times 3 times2 times 1or fewer timesWhole Foods or Trader Joe’s*5 or more times4 times 3 times2 times 1or fewer timesStores such as Wal-Mart, Target, Costco*5 or more times4 times 3 times2 times 1or fewer times Food co-ops*5 or more times4 times 3 times2 times 1or fewer timesHOW MANY TIMES PER MONTH you get food at the following place Small independent grocery stores *5 or more times4 times 3 times2 times 1or fewer times Convenience Stores, such as 7-Eleven or Hess Express*5 or more times4 times 3 times2 times 1or fewer times Farmers’ markets *5 or more times4 times 3 times2 times 1or fewer timesFarm stores*5 or more times4 times 3 times2 times 1or fewer times Roadside farm stands*5 or more times4 times 3 times2 times 1or fewer timesA CSA (Community Supported Agriculture) farm *5 or more times4 times 3 times2 times 1or fewer timesWhen you are purchasing food, how often do you check to see if the food you are buying was produced or grown locally?*AlwaysSometimesRarelyNeverIf you eat local food, where do you most often get it? Please choose UP TO THREE of the places you get it most often, but no more than three. * Farmers’ Market Farm Stands A CSA Farm (Community Supported Agriculture) Pick-your-own Local markets, such as Food Town Large Supermarkets My own/Family member’s/Neighbor’s garden Some other place please specify:*If you selected "some other place" Please specify that place here.When local produce is in season, do you change your shopping habits to shop at local farmers’ markets, local farms or other outlets for local food? Please select the answer that comes CLOSEST to your situation from the options below: * Yes, I go out of my way to buy as much as possible there Yes, but I don’t go out of my way Yes, but only if it is cheaper or the same in price No, I don’t change my habits much or at all Please check your TOP THREE REASONS from the following list for buying local food. * a) It is fresher/healthier b) My family likes it c) It is organically or sustainably grown d) It supports local farms and farmers e) It is good for the environment f) I know how and where it was grown g) It is less expensive h) It preserves the community character of Putnam County i) It supports the local economy of Putnam County If you DO NOT buy available local food, what are your TOP THREE reasons for not buying it? * a) It is fresher/healthier b) My family likes it c) It is organically or sustainably grown d) It supports local farms and farmers e) Lack of variety g) I do not know where to go to get it 4. Based on your knowledge of what local foods are available to you in this area, what OTHER food items would you like to have grown locally? List up to three items. * Press the (+) to the right to add a new row! UntitledNever or almost never1 or 2 days/week3-5 days/week6-7 days/week This iframe contains the logic required to handle Ajax powered Gravity Forms.
