OMB 0581-0169
Last
Updated
U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
FARMERS MARKET QUESTIONNAIRE
Preliminary Information
What
is the name of this farmers market?
Farmers
market name: _____________________________________
Market
location (main site):
Street
name and number (e.g., 999 USDA Road):
_____________________________
City: ______________________________
State: ______________________________
5-digit
Zip code
(required): ______________________________
County: ______________________________
Mailing
address (if different from above):
Street
name and number or P.O. Box
number: ______________________________
City: ______________________________
State: ______________________________
Zip
code: ______________________________
What
is your relationship to this farmers market?
O
Market manager
O Market contact person
O Extension
agent
O Other, please specify _______________
Contact information of the
person completing the survey
Name
of the person ______________________________
Telephone
number (including area code)
______________________________
Facsimile number (including area
code) ______________________________
E-mail address
______________________________
Web site of this farmers
market ______________________________
A
possible option – add a map that will allow respondents to
pin-point the location of their farmers market.
Section 1
Farmers
market profile for 2009
Was
this farmers market open for business any time in 2009?
O
Yes
O No => Exit
the survey
Including
2009, how many years has this farmers market been in operation? If
it was open for the first time in 2009, please enter 1. Please enter
only numbers in the box; no commas, periods, letters, or symbols.
Number of years ______
Was
this farmers market open year round in 2009?
O
Yes => Skip to q.
10
O No
When
was this farmers market open in 2009?
Start
day (mm/dd/yy): _________________
End day (mm/dd/yy):
_________________
Some
markets are characterized by seasonality, i.e., the numbers of
producers/vendors and customers, diversity of products, and days and
times of operation vary between seasons or even months. A
peak season would be the period (e.g., weeks or months) during which
this farmers market experiences a disproportionately high percentage
of annual sales.
Most commonly this would be the period during which this market also
has more customers and vendors. Would you say that this farmers
market had a peak season in 2009?
O
Yes => Skip to q.
12
O No
(Only
single-season markets; “no” in q. 10)
Please
indicate the day(s) of the week that this farmers market was
regularly open in 2009. Please select all that apply.
[_]
Monday
[_] Tuesday
[_] Wednesday
[_] Thursday
[_]
Friday
[_] Saturday
[_] Sunday
=> Skip
to q. 13
(Only
multiple-season markets; “yes” in q. 10)
Please
indicate the start and end dates for the peak season and the
off-peak season(s) for this farmers market in 2009 and indicate the
day(s) of the week that it was regularly open in each of these
seasons. “Special days” season may include Thanksgiving
market, Christmas market, etc.
|
Start date |
End date |
Open Mon |
Open Tue |
Open Wed |
Open Thu |
Open Fri |
Open Sat |
Open Sun |
Peak season |
_____ |
_____ |
[_] |
[_] |
[_] |
[_] |
[_] |
[_] |
[_] |
Off-peak season 1 |
_____ |
_____ |
[_] |
[_] |
[_] |
[_] |
[_] |
[_] |
[_] |
Off-peak season 2 |
_____ |
_____ |
[_] |
[_] |
[_] |
[_] |
[_] |
[_] |
[_] |
“Special days” season |
_____ |
_____ |
[_] |
[_] |
[_] |
[_] |
[_] |
[_] |
[_] |
What
was the total amount in sales (combined retail and wholesale) at
this farmers market in 2009? Please round the amount to the nearest
whole number and enter only numbers in the box; no commas, periods,
letters or symbols.
Total
sales $ ______
Please
estimate the percentage of retail sales (i.e., direct to consumers)
and the percentage of wholesale sales (i.e., to restaurants,
businesses, and/or institutions) at this farmers market in 2009. The
total must equal 100%. Please round the amount to the nearest whole
number and enter only numbers in the boxes; no commas, periods,
letters or symbols.
Retail
sales (direct to consumers) ____.00 %
Wholesale sales
(restaurants, businesses and/or institutions) ____.00 %
Total
100.00 %
(Only
single-season markets; “no” in q. 10)
Please provide
estimates of average
amounts in sales: per week, per weekday and per weekend for this
farmers market in 2009, where applicable. Please round the amount to
the nearest whole number and enter only numbers in the boxes; no
commas, periods, letters or symbols.
Average
sales per week ($) ________________
Average sales per weekday
($) _______________
Average
sales per weekend ($) _______________
(Only
multiple-season markets; “yes” in q. 10)
Please
provide estimates of average
amounts in sales: per week, per week day and per weekend in each of
the seasons for this farmers market in 2009, where applicable.
Please round the amount to the nearest whole number and enter only
numbers in the boxes; no commas, periods, letters or symbols.
|
Average sales per week ($) |
Average sales per weekday ($) |
Average sales per weekend ($) |
Peak season |
_____ |
_____ |
_____ |
Off-peak season 1 |
_____ |
_____ |
_____ |
Off-peak season 2 |
_____ |
_____ |
_____ |
“Special days” season |
_____ |
_____ |
_____ |
Section
2
Farmers
market operations in 2009
Did
this farmers market operate in a permanent structure in 2009?
O
Yes
O No
Please
indicate where this farmers market is located. Please select all
that apply.
[_]
City square
[_] Closed-off street
[_] Grounds of a
county government building
[_] Grounds of a federal government
building
[_] Grounds of a state government building
[_]
Hospital
[_] “Mobile” market, “market on
wheels”
[_] Park
[_] Parking lot
[_]
Secondary school
[_] Sidewalk
[_] University campus
[_]
Other large employee worksite, please specify
_____________________
[_] Other, please specify
____________________
Which of the following
rules were in force at this farmers market in 2009? Please select
all that apply.
[_]
Agricultural producers are only allowed to sell farm products they
themselves produce
[_] Farm inspections are used to verify
the source of products sold
[_] Producers can sell farm
products produced only within
a prescribed local area
(if selected
=> Go q. 20)
[_]
Producers are required to report their value of sales
[_]
Product mix at this market is controlled by limiting the number of
producers/vendors that sell the same item(s)
[_] The range of
items that can be sold at this market is limited (e.g., sales of
meat, eggs, fish/seafood are prohibited)
Please indicate the
definition of local area used at this farmers market in 2009.
O
25 miles
O 75 miles
O 100 miles
O 150 miles
O Within your state
O
Other, please specify _____________________
Who enforced market rules
and regulations at this farmers market in 2009? Please select all
that apply.
[_]
City/county/municipal government agency
[_] Community
association/non-profit organization
[_] Market manager
[_]
Private for-profit firm/property manager
[_]
Producer/vendor-operated board of directors
[_] State
government agency
[_] Other, please specify
____________________
What
was this farmers market’s annual operating budget in 2009?
Please round the amount to the nearest whole number and enter only
numbers in the box; no commas, periods, letters or symbols.
Annual
operating budget; $__________
What was the percentage of
the total operating budget obtained from each of the following
sources at this farmers market in 2009? The total should equal 100%.
However, if you do not have information, please leave a given box
blank. If no money came from a given source, please enter "0"
in the box. Please round the amount to the nearest whole number and
enter only numbers in the boxes; no commas, periods,
letters or symbols.
|
Percentage of total revenue (%) |
City/county/municipal government agency |
_____ |
Donations from the public |
_____ |
Farmers market association |
_____ |
Grants |
_____ |
Market fundraising events |
_____ |
Non-profit organization |
_____ |
Producer/vendor fees |
_____ |
State government agency |
_____ |
Trade or business association (e.g., Chamber of Commerce) |
_____ |
Other, please specify _______ |
_____ |
Total (automatically calculated by the system) |
% |
Were
producers/vendors charged a fee to sell at this farmers market in
2009?
O
Yes
O Not a fee, but there were other requirements (e.g., food
“gleaning”) => Skip
to q. 26
O No =>
Skip to q. 26
In the applicable category,
please indicate the amount(s) of the fee(s) that producers/vendors
were charged to sell at this farmers market in 2009. Please enter
only numbers in the boxes; no commas, periods, letters or
symbols.
Farm
inspection fee; $ _______
Fee per square foot; $ _______
Flat
rate; $ _______
Membership fee; $ _______
Percentage of
sales; _______%
Other, please specify _________; $ _______
Did
this farmers market have a manager in 2009?
O
Yes, as a paid employee
O Yes, as a volunteer => Skip
to q. 28
O No =>
Skip to q. 31
What
was the market manager’s annual salary in 2009?
Please round the
amount to the nearest whole number and enter only numbers in the
box; no commas, periods, letters or symbols.
Manager’s
annual salary; $__________
What
was the manager’s official time involvement at this farmers
market in 2009?
O
Full-time, year-round
O Full-time, seasonal
O
Part-time, year-round
O Part-time, seasonal
Did
the manager of this farmers market also manage other markets in
2009?
O
Yes
O No => Skip
to q. 31
O Do not
know => Skip to q.
31
How
many different markets, including this market, did your manager
operate in 2009? Please enter only numbers in the box; no commas,
periods, letters or symbols.
Number
of markets __________
Not
including the manager, did this farmers market employ any paid
workers in 2009?
O
Yes
O No => Skip
to q. 33
How many employees in the
following categories did this farmers market employ in 2009? Do not
include the manager of this farmers market in the count. If there
were no employees in a given category, please enter “0”
in the box for that category. Please enter only numbers in the
boxes; no commas, periods, letters or symbols.
Number
of part-time seasonal employees _____
Number of part-time
year-round employees _____
Number of full-time seasonal
employees _____
Number of full-time year-round employees
_____
Did
any volunteers work at this farmers market in 2009?
O
Yes
O No => Skip
to q. 35
How
many volunteers worked at this farmers market in 2009? Please enter
only numbers in the box; no commas, periods, letters or
symbols.
Number
of volunteers _____
Did
this farmers market have any advertising campaigns in 2009?
O
Yes
O No => Skip
to q. 38
How
much did this farmers market spend on advertising in 2009? Please
round the amount to the nearest whole number and enter only numbers
in the box; no commas, periods, letters or symbols.
Amount
spent on advertising; $__________
Please indicate your assessment of the effectiveness of each type of advertising that was used by this farmers market in 2009.
|
Not effective |
Somewhat effective |
Effective |
Very effective |
Extremely effective |
Used it but unable to rate |
Did NOT use it |
Brochures/flyers |
O |
O |
O |
O |
O |
O |
O |
Direct mail |
O |
O |
O |
O |
O |
O |
O |
Internet/web site |
O |
O |
O |
O |
O |
O |
O |
Newsletters/emails |
O |
O |
O |
O |
O |
O |
O |
Newspapers/magazines |
O |
O |
O |
O |
O |
O |
O |
Radio |
O |
O |
O |
O |
O |
O |
O |
Signs/banners on market day |
O |
O |
O |
O |
O |
O |
O |
Television |
O |
O |
O |
O |
O |
O |
O |
Other, please specify ______ |
O |
O |
O |
O |
O |
O |
O |
Please rate the performance
of this farmers market in 2009 in the following categories.
|
Not success |
Somewhat successful |
Success |
Very |
Extremely success |
Unable to rate |
Level of sales |
O |
O |
O |
O |
O |
O |
Number of customers |
O |
O |
O |
O |
O |
O |
Number of producers/vendors |
O |
O |
O |
O |
O |
O |
Diversity of products offered |
O |
O |
O |
O |
O |
O |
Community support of this farmers market |
O |
O |
O |
O |
O |
O |
Growth in number of repeat customers |
O |
O |
O |
O |
O |
O |
Growth in number of producers/ vendors |
O |
O |
O |
O |
O |
O |
Other, please specify ______ |
O |
O |
O |
O |
O |
O |
Please rate the importance
of improving the following conditions at this farmers market. If a
given condition does not apply to this farmers market, please
indicate it in the last column
|
Not important |
Somewhat important |
Important |
Very important |
Extremely important |
Not applicable |
Access to public restrooms |
O |
O |
O |
O |
O |
O |
Certified processing/kitchen facilities |
O |
O |
O |
O |
O |
O |
Improvements in layout of facility |
O |
O |
O |
O |
O |
O |
Parking for customers |
O |
O |
O |
O |
O |
O |
Permanent market facility |
O |
O |
O |
O |
O |
O |
Renovation of aging facility |
O |
O |
O |
O |
O |
O |
Utilities (e.g., electricity, water) |
O |
O |
O |
O |
O |
O |
Waste management |
O |
O |
O |
O |
O |
O |
Access to training on enhanced business practices |
O |
O |
O |
O |
O |
O |
Creation of a market reserve fund for market improvements |
O |
O |
O |
O |
O |
O |
Development of business plan for market |
O |
O |
O |
O |
O |
O |
Food safety training |
O |
O |
O |
O |
O |
O |
Hiring (or increasing the paid hours) of the market manager |
O |
O |
O |
O |
O |
O |
Liability insurance coverage |
O |
O |
O |
O |
O |
O |
Advertising/publicity of this market |
O |
O |
O |
O |
O |
O |
Availability of funds for local food promotion campaigns |
O |
O |
O |
O |
O |
O |
Increase in average spending per customer |
O |
O |
O |
O |
O |
O |
Increase in number of customers |
O |
O |
O |
O |
O |
O |
Increase in sales per producer/vendor |
O |
O |
O |
O |
O |
O |
Increase in web/Internet marketing |
O |
O |
O |
O |
O |
O |
Relationships with market producers/vendors |
O |
O |
O |
O |
O |
O |
Research on local customer demographics and preferences |
O |
O |
O |
O |
O |
O |
Other , please specify ______ |
O |
O |
O |
O |
O |
O |
In your opinion, which of
the following statements about farmers markets in your local area
was MOST true in 2009?
O
We had more demand (buyers) than supply (products and/or vendors);
needed more producers/vendors
O We had more supply (products
and/or vendors) than demand (buyers); needed more customers
O
Our supply (products and/or vendors) and demand (buyers) was
generally matched; the number of producers/vendors
and
customers was sufficient
Section 3
Farmers
market producers and vendors in 2009
Overall, how many different
producers/vendors sold at this market in 2009? Please
count producers/vendors only once regardless of how many or few days
they were there.
Please round the amount to the nearest whole number and enter only
numbers in the box; no commas, periods, letters or symbols.
Total
number of producers/vendors __________
(Only multiple-season markets;
“yes” in q. 10)
On average, how many different producers/vendors sold at this
farmers market in 2009 in each of the seasons you indicated earlier?
If you do not have information, please leave a given box blank.
Please round the amount to the nearest whole number and enter only
numbers in the boxes; no commas, periods, letters or symbols.
|
Average number of producers/vendors |
Peak season |
_____ |
Off-peak season 1 |
_____ |
Off-peak season 2 |
_____ |
“Special days” season |
_____ |
How many producers/vendors
at this farmers market had annual
market sales
in the following categories? If you do not have information, please
leave a given box blank. If there were no producers/vendors in a
given sales category, please enter "0" in the box. Please
enter only numbers in the boxes; no commas, periods,
letters or symbols.
|
Number of producers/vendors |
$1 - $1,000 |
_____ |
$1,001 - $5,000 |
_____ |
$5,001 - $10,000 |
_____ |
$10,001 - $25,000 |
_____ |
$25,001 - $50,000 |
_____ |
$50,001 - $75,000 |
_____ |
$75,001 - $100,000 |
|
$100,001+ |
_____ |
How many producers/vendors
traveled the following distances to sell at this farmers market in
2009? If you do not have information, please leave a given box
blank. Please enter only numbers in the boxes; no commas, periods,
letters or symbols.
0
- 5 miles _____
6 - 10 miles _____
11 - 20 miles
_____
21 - 50 miles _____
51 - 100 miles _____
101
miles or more _____
Have this market’s
producers/vendors changed the scope and/or viability of their farm
operation due to selling their products at this farmers market
(e.g., increased number of farm workers, increased acreage, employed
full time workers instead of part-time ones)?
O
Yes
O No => Skip
to q. 47
O Do not
know => Skip to q.
47
How many of this market’s
producers/vendors changed the scope of their farm operation in the
following categories due to selling their products at farmers
markets. If you do not have information, please leave a given box
blank. If there were no producers/vendors in a given category,
please enter “0” in the box. Please enter only numbers
in the boxes; no commas, periods, letters or symbols.
Producers/vendors
transitioned from working part-time to working full time on the
farm: _______________
Producers/vendors were enabled to
continue farming: _______________
Producers/vendors increased
their farm acreage: _______________
Producers/vendors expanded
their product offerings to include “value added”
products: _______________
Producers/vendors increased the
number of workers they employed: _______________
Producers/vendors
were able to transition from commercial production to organic
production: _______________
Other, please specify
___________________: _________
How many producers/vendors
at this farmers market belonged to the following racial groups? If
you do not have information, please leave a given box blank. If
there were no producers/vendors that belonged to a particular racial
group, please enter "0" in the box. Please enter only
numbers in the boxes; no commas, periods, letters or symbols.
American
Indian or Alaska Native ________
Asian ________
Black or
African American ________
Native Hawaiian or Other Pacific
Islander ________
White or Caucasian ________
How many producers/vendors
at this farmers market were of Hispanic or Latino origin or descent?
If you do not have information, please leave the box blank. Please
enter only numbers in the box; no commas, periods, letters or
symbols.
Hispanic/Latino
origin/descent __________
Section
4
Products
sold at this farmers market in 2009
How many different
producers/vendors sold the following products at this farmers market
in 2009? If there were no producers/vendors selling a product,
please enter “0” in the box for that category. If you do
not have information, please leave a given box blank. Please enter
only numbers in the boxes; no commas, periods, letters or
symbols.
Products sold at this farmers market |
Number of producers/vendors that sold these products |
Baked goods |
______ |
Butter |
______ |
Cheese |
______ |
Crafts/woodworking items |
______ |
Fish and/or seafood |
______ |
Flowers |
______ |
Fresh fruits |
______ |
Herbs |
______ |
Honey |
______ |
Jams, jellies, and preserves |
______ |
Maple syrup and /or maple products |
______ |
Meat and/or poultry products |
______ |
Milk and cream products |
______ |
Nuts |
______ |
Other processed foods |
______ |
Plants |
______ |
Prepared food (for immediate consumption) |
______ |
Vegetables |
______ |
Yogurt |
______ |
Other 1, please specify _______ |
______ |
Other 2, please specify _______ |
______ |
Other 3, please specify _______ |
______ |
Were there any products
labeled “organic”
available for sale at this farmers market in 2009?
O Yes
O No => Skip
to q. 53
O Do not
know => Skip to q.
53
With regards to products
labeled “organic”, would you say that in 2009 this
farmers market had...
O
More “organic” products than buyers (supply greater
than demand)
O More buyers than “organic” products
(demand greater than supply)
O Demand (buyers) about equal to
supply (“organic” products)
How many different
producers/vendors sold products labeled “organic” in the
following categories at this farmers market in 2009? If there were
no producers/vendors selling a product, please enter “0”
in the box for that category. If you do not have information, please
leave a given box blank. Please enter only numbers in the boxes;
no commas, periods, letters or symbols.
|
Number of producers/vendors that sold these products |
Organic butter |
______ |
Organic cheese |
______ |
Organic flowers |
______ |
Organic fresh fruits |
______ |
Organic herbs |
______ |
Organic honey |
______ |
Organic jams, jellies, and preserves |
______ |
Organic meat and/or poultry products |
______ |
Organic milk and/or dairy products |
______ |
Organic nuts |
______ |
Organic plants |
______ |
Organic vegetables |
______ |
Organic yogurt |
______ |
Other 1, please specify _______ |
______ |
Other 2, please specify _______ |
______ |
Other 3, please specify _______ |
______ |
Did producers/vendors at
this farmers market use labels other
than “organic”
to sell their products in 2009?
O
Yes
O No => Skip
to q. 55 or 56, as applicable
O
Do not know => Skip
to q. 55 or 56, as applicable
How many different
producers/vendors sold products with the following labels at this
farmers market in 2009? If there were no producers/vendors selling a
product, please enter “0” in the box for that category.
If you do not have information, please leave a given box blank.
Please enter only numbers in the boxes; no commas,
periods, letters or symbols.
|
Number of producers/vendors that sold these products |
Chemical-free/pesticide-free |
______ |
Hormone-free/antibiotic-free |
______ |
Locally grown |
______ |
Natural |
______ |
Pasture-raised/free range |
______ |
Other , please specify _______ |
______ |
Section 5
Customers
of this farmers market in 2009
(Only single-season markets;
“no” in q. 10)
On
average, how many customers per
week attended
this farmers market in 2009? Please enter only numbers in the box;
no commas, periods, letters, or symbols.
Average
number of customers per week ______________
(Only multiple-season markets;
“yes” in q. 10)
On average,
how many customers per
week
attended this farmers market in applicable seasons in 2009? Please
enter only numbers in the boxes; no commas, periods, letters, or
symbols.
|
Average number of customers per week |
Peak season |
______ |
Off-peak season 1 |
______ |
Off-peak season 2 |
______ |
“Special days” season |
______ |
In 2009, what percentage of
the customers traveled the following distances to this farmers
market? The total should equal 100%. However, if you do not have
information, please leave a given box blank. If there were no
customers that traveled within a specific distance category, please
enter "0" in the box. Please enter only numbers in the
boxes; no commas, periods, letters or symbols.
|
Percent of customers (%) |
0 - 5 miles |
____ |
6 - 10 miles |
____ |
11 - 20 miles |
____ |
21 - 50 miles |
____ |
51 - 100 miles |
____ |
101 miles or more |
____ |
Total (automatically calculated) |
% |
Did this market conduct any
customer surveys in 2009?
O
Yes
O No
O Do not know
What is your perception of
the importance of customer motivation for patronizing this farmers
market in 2009?
|
Not important |
Somewhat important |
Important
|
Very important |
Extremely important |
Unable to rate |
Access to information on how food products are produced |
O |
O |
O |
O |
O |
O |
Access to locally-produced food |
O |
O |
O |
O |
O |
O |
Condition of product (no bruises, perfect shape, no blemishes, etc.) |
O |
O |
O |
O |
O |
O |
Freshness of product |
O |
O |
O |
O |
O |
O |
Opportunity to establish relationship with vendor(s) |
O |
O |
O |
O |
O |
O |
Price |
O |
O |
O |
O |
O |
O |
Social atmosphere of the market |
O |
O |
O |
O |
O |
O |
Support of local agriculture |
O |
O |
O |
O |
O |
O |
Taste and texture of product |
O |
O |
O |
O |
O |
O |
Variety of products offered |
O |
O |
O |
O |
O |
O |
Other 1, please specify _______ |
O |
O |
O |
O |
O |
O |
Other 2, please specify _______ |
O |
O |
O |
O |
O |
O |
Section
6
Nutrition and payment programs at this farmers market in 2009
Did any of the
producers/vendors at this farmers market participate in any of the
following federal nutrition benefit programs in 2009? Please select
all that apply.
[_]
Women, Infants, and Children (WIC) Farmers Market Nutrition Program
=> Go to q. 61
[_]
Senior Farmers Market Nutrition Program =>
Skip to q. 62
[_]
Special Supplemental Nutrition Program for Women, Infants and
Children (WIC) =>
Skip to q. 63
[_]
Supplemental Nutrition Assistance Program (SNAP) (formerly called
“food stamps”) using electronic benefits transfer
(EBT) technology =>
Skip to q. 64
[_]
None of the above => Skip
to q. 67
You indicated that this
farmers market participated in the Women,
Infants, and Children (WIC) Farmers Market Nutrition Program
in 2009.
Please provide the following information on this
market’s participation in this program. Please round the
amounts to the nearest whole number and enter only numbers in the
boxes; no commas, periods, letters or symbols. If you do not have
information, please leave a given box blank.
Number
of years of market’s participation in this program
_________
Number of market’s producers/vendors
participating in this program in 2009 _________
Market’s
total value of sales for this program in 2009 ($)_____________
You indicated that this
farmers market participated in the Senior
Farmers Market Nutrition Program
in 2009.
Please provide the following information on this
market’s participation in this program. Please round the
amounts to the nearest whole number and enter only numbers in the
boxes; no commas, periods, letters or symbols. If you do not have
information, please leave a given box blank.
Number
of years of market’s participation in this program
_________
Number of market’s producers/vendors
participating in this program in 2009 _________
Market’s
total value of sales for this program in 2009 ($)_____________
You indicated that this
farmers market participated in the Special
Supplemental Nutrition Program for Women, Infants and Children (WIC)
in 2009.
Please provide the following information on this
market’s participation in this program. Please round the
amounts to the nearest whole number and enter only numbers in the
boxes; no commas, periods, letters or symbols. If you do not have
information, please leave a given box blank.
Number
of years of market’s participation in this program
_________
Number of market’s producers/vendors
participating in this program in 2009 _________
Market’s
total value of sales for this program in 2009 ($)_____________
You indicated that this
farmers market participated in the Supplemental
Nutrition Assistance Program (SNAP) (formerly called “food
stamps”) using electronic benefits transfer (EBT) technology
in 2009.
Please provide the following information on this
market’s participation in this program. Please round the
amounts to the nearest whole number and enter only numbers in the
boxes; no commas, periods, letters or symbols. If you do not have
information, please leave a given box blank.
Number
of years of market’s participation in this program
_________
Number of market’s producers/vendors
participating in this program in 2009 _________
Market’s
total value of sales for this program in 2009 ($)_____________
Did this farmers market
convert EBT payments into script or tokens in 2009?
O
Yes
O No
O Do not know
(Only those who selected at
least one program in q. 60)
Were
double voucher/subsidy programs available to customers that
participated in federal nutrition benefit programs at this farmers
market in 2009?
O
Yes
O No
O Do not know
(All respondents)
Did
producers/vendors at this farmers market participate in food
“gleaning” or donation programs in 2009?
O
Yes
O No => Skip
to q. 70
How many producers/vendors participated in food “gleaning” or donation programs at this farmers market in 2009? Please enter only numbers in the box; no commas, periods, letters, or symbols.
Number of participating
producers/vendors _____
What was the total value of
the “gleaned” or donated food in 2009? Please round the
amount to the nearest whole number and enter only numbers in the
box; no commas, periods, letters or symbols. If you do not have
information, please leave the box blank.
Total
value of the “gleaned” or donated food; $ ______
USDA plans to repeat this
survey again. What types of additional information do you recommend
should be collected in the next
survey?
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
According
to the Paperwork Reduction Act of 1995, an agency may not conduct or
sponsor, and a person is not required to respond to a collection of
information, unless it displays a valid OMB control number. The valid
OMB control number for this information collection is 0581-0169. The
time required to complete this information collection is estimated to
average 21 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the
collection of information.
The U.S. Department of
Agriculture (USDA) prohibits discrimination in all its programs and
activities on the basis of race, color, national origin, age,
disability, and where applicable, sex, marital status, familial
status, parental status, religion, sexual orientation, genetic
information, political beliefs, reprisal, or because all or part of
an individual’s income is derived from any public assistance
program. (Not all prohibited bases apply to all programs.) Persons
with disabilities who require alternative means for communication of
program information (Braille, large print, audiotape, etc.) should
contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD).
To file a complaint of discrimination, write to USDA, Director,
Office of Civil Rights, 1400 Independence Avenue, S.W., Washington,
D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382
(TDD). USDA is an equal opportunity provider and employer.
| File Type | application/msword |
| Author | herbowic |
| Last Modified By | usda |
| File Modified | 2009-11-10 |
| File Created | 2009-11-10 |