Give us your .02 cents worth!
We are always looking for ways to improve the food program offered here in Derby, KS.
Currently we are members of the Prairie Land Food Program.
Please take a few minutes and tell us what you think!
Currently we are members of the Prairie Land Food Program.
Please take a few minutes and tell us what you think!
What foods would you like to see MORE of?
What foods would you like to see LESS of?
How would you like the food program to be different?
Would you like to get a phone call reminder to order each month?
If so please provide your name and phone number:
Which of the advertising efforts do you notice the most?
Email
Flyers
Web Site
Newspaper ads
Word of mouth
Other
01.)
02.)
03.)
04.)
05.)
What DO you like about this food program?
06.)
What DON'T you like about this food program?
07.)
How would you rate the overall quality of the meat?
08.)
Poor
Good
Great
Anything else you would like to tell us?
09.)
Would you like to volunteer on Pick-up Saturday? We need all the help we can get!
10.)
YES!
No, I can't at this time.
Name:
Phone:
Prairie Land Food is a Kansas based organization.
Please return the completed form to Roseanne ASAP. Thank you for your participation.
Find the Derby, KS Host Site for the Prairie Land Food Program online at --- www.DerbyKS.net
This form and Derby, KS host site provided by Buddy Web Works, Derby, KS --- www.buddywebworks.com
