FM Manager (for & not-for-profit), Farms (Direct Mkting)

Nutrition Assistance in Farmers Markets: Understanding Shopping Patterns

FM Appendix B5 FM Manager survey screen shots 11-7-13

FM Manager (for & not-for-profit), Farms (Direct Mkting)

OMB: 0584-0564

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APPENDIX B5: FARMERS’ MARKET MANAGER WEB SURVEY SCREENSHOTS: ENGLISH

NOTE: These screenshots are illustrative. The entire survey will be programmed similarly.

ID Number: _____________
OMB Number: 0584-NEW
Expiration Date: XX/XX/20XX
Public reporting burden for this collection of information is estimated to average 25 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. An agency may not conduct or sponsor, and a person is not
required to respond to, a collection of information unless it displays a currently valid OMB control number.

This section includes questions from the Manager survey.
Click Next to continue.

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1. What is your role at this farmers market? Please check all that apply.
Market manager
Paid staff
Volunteer staff
Vendor
Other (please specify)

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2. How long have you worked at this farmers market?

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A5. Between October 2010 and September 2011, did this farmers market sell each of
the following products always, sometimes, or never?

Always

Sometimes

Fruits
Vegetables
Milk
Cheese
Other Dairy Products
Fish or Seafood
Breads or Rolls
Meat or Poultry
Other Baked Goods
Prepared Foods
Juice or Cider
Non-food Items (Plants, Crafts, etc.)
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2

Never

A6. Between October 2010 and September 2011, what was the minimum number of
vendors who participated in this farmers market on any given day?

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A7. Between October 2010 and September 2011, what was the maximum number of
vendors who participated in this farmers market on any given day?

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