Shopping Patterns: SNAP Recipient Survey (I/H)

Appendix B1: SNAP Participant Survey: English

OMB NUMBER: 0584-0564

EXPIRATION DATE: 11.30/2014

Shopping for Fruits and Vegetables

Section A

Shopping for Groceries

This section asks you about where you buy groceries.

For each question, think about where you shopped in the past year.

1. From the list below, please mark the stores where you bought groceries in the past year.

CHECK ALL THAT APPLY

• Large chain grocery store like Safeway or {FILL REGIONAL EXAMPLE}

• Warehouse club store like Sam’s Club or Costco

• Discount store like Wal-Mart or Target

• I did not buy groceries at any of these types of storesGO TO QUESTION A5

2. How many times did you buy frozen or canned fruits and vegetables at these stores?

• More than once a week

• Once a week

• Every other week

• Once a month

• Less than once a month

• Never

3. How many times did you buy fresh fruits and vegetables at these stores?

• More than once a week

• Once a week

• Every other week

• Once a month

• Less than once a month

• Never  GO TO QUESTION A5

4. 1. According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this collection is 0584-0564. The time required to complete this information collection is estimated to average 25 minutes per response, including the time to review instructions, searching existing data resources, gather the data needed, and complete and review the information collected.

Did you use your SNAP/EBT card to buy fresh fruits and vegetables at these stores?

• No

• Yes

5. In the past year did you buy groceries at a smaller grocery store that sells many different kinds of food and other items

• No  GO TO QUESTION A9, PAGE 2

• Yes

6. How many times did you buy frozen or canned fruits and vegetables at a smaller grocery store?

• More than once a week

• Once a week

• Every other week

• Once a month

• Less than once a month

• Never

7. How many times did you buy fresh fruits and vegetables at a smaller grocery store?

• More than once a week

• Once a week

• Every other week

• Once a month

• Less than once a month

• NeverGO TO QUESTION A9, PAGE 2

8. Did you use your SNAP/EBT card to buy fresh fruits and vegetables at a smaller grocery store?

• No

• Yes

9. In the past year did you buy groceries at a convenience store like 7-Eleven?

• No  GO TO QUESTION A13

• Yes

10. How many times did you buy frozen or canned fruits and vegetables at a convenience store?

• More than once a week

• Once a week

• Every other week

• Once a month

• Less than once a month

• Never

11. How many times did you buy FRESH fruits and vegetables at a convenience store?

• More than once a week

• Once a week

• Every other week

• Once a month

• Less than once a month

• Never  GO TO QUESTION A13

12. In the past year did you use your SNAP/EBT card to buy fresh fruits and vegetables at a convenience store?

• No

• Yes

13. In the past year did you buy groceries at a natural or organic market like Whole Foods?

• No  GO TO QUESTION A17, PAGE 3

• Yes

14. How many times did you buy frozen or canned fruits and vegetables at a natural or organic market?

• More than once a week

• Once a week

• Every other week

• Once a month

• Less than once a month

• Never

15. How many times did you buy fresh fruits and vegetables at a natural or organic market?

• More than once a week

• Once a week

• Every other week

• Once a month

• Less than once a month

• NeverGO TO QUESTION A17, PAGE 3

16. Did you use your SNAP/EBT card to buy fresh fruits and vegetables at a natural or organic market?

• No

• Yes

17. In the past year did you buy groceries at an ethnic market like a Latin or Asian market?

• No  GO TO QUESTION A21

• Yes

18. How many times did you buy frozen or canned fruits and vegetables at an ethnic market?

• More than once a week

• Once a week

• Every other week

• Once a month

• Less than once a month

• Never

19. How many times did you buy fresh fruits and vegetables at an ethnic market?

• More than once a week

• Once a week

• Every other week

• Once a month

• Less than once a month

• Never  GO TO QUESTION A21

20. In the past year did you use your SNAP/EBT card to buy fresh fruits and vegetables at an ethnic market?

• No

• Yes

21. In the past year did you buy groceries at any other kind of store?

• No  GO TO QUESTION A25, PAGE 4

• Yes

Please tell us what kind.

___________________________

22. How many times did you buy frozen or canned fruits and vegetables at this other kind of store?

• More than once a week

• Once a week

• Every other week

• Once a month

• Less than once a month

• Never

23. How many times did you buy fresh fruits and vegetables at this other kind of store?

• More than once a week

• Once a week

• Every other week

• Once a month

• Less than once a month

• NeverGO TO QUESTION A25, PAGE 4

24. Did you use your SNAP/EBT card to buy fresh fruits and vegetables at this other kind of store?

• No

• Yes

26. In the past year did you get any fresh fruits and vegetables from a garden grown by you, a family member, or a friend?

• No

• Yes

27. Before taking this survey, did you know that you could use your SNAP/EBT card to buy plants or seeds for growing fruits and vegetables?

• No  GO TO QUESTION A29

• Yes

28. In the past year, did you use your SNAP/EBT card to buy any plants and/or seeds for growing fruits and vegetables?

• No  GO TO QUESTION A29

• Yes

29. Did you buy these plants or seeds at a farmers market?

• No  GO TO TOP OF PAGE 5

• Yes  GO TO TOP OF PAGE 5

30. In the future, how likely are you to buy any plants or seeds for growing fruits and vegetables with your SNAP/EBT card?

• Very likely

• Somewhat likely

• Not very likely

• Not at all likely

The next questions are about the store where you buy most of your fresh fruits and vegetables. If you buy fresh fruits and vegetables at more than one store, please think about the store you prefer to buy your fresh fruits and vegetables.

In the past year, where did you buy the most fresh fruits and vegetables?

Please write in the name of one store only

______________________________________________________________

W

e are interested in the reasons you shop at the store where you buy most of your fresh Fruits and vegetables.

The questions below ask about reasons that have to do with price, quality or convenience. For questions A31 through A46, please think only about the store you wrote at question A30.

31. Do you shop at this store because it is close to where you live?

• No  GO TO QUESTION A33

• Yes

32. How important is being close to where you live as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

33. Do you shop at this store because it is easy for you to get to?

• No  GO TO QUESTION A35

• Yes

34. How important is being easy for you to get to as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

35. Do you shop at this store because it is open at convenient times?

• No  GO TO QUESTION A37

• Yes

36. How important is being open at convenient times as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

37. Do you shop at this store because it has good specials or deals?

• NoGO TO QUESTION A39, PAGE 6

• Yes

38. How important is having good specials or deals as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

40. Do you shop at this store because it has low prices on fresh fruits and vegetables?

• No  GO TO QUESTION A41

• Yes

41. How important is having low prices on fresh fruits and vegetables as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

42. Do you shop at this store because it has low prices on products you buy?

• No  GO TO QUESTION A43

• Yes

43. How important is having low prices on products you buy as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

44. Do you shop at this store because it sells high quality fruits and vegetables?

• No  GO TO QUESTION A45

• Yes

45. How important is selling high quality fruits and vegetables as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

46. Do you shop at this store because it takes your SNAP/EBT card?

• No  GO TO QUESTION A47

• Yes

47. How important is taking your SNAP/EBT card as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

The items below are more reasons that you may shop at the store where you buy most of your fresh fruits and vegetables. For questions A47 through A58, please think only about the store you wrote at question A30.

48. Do you shop at this store because it sells many different kinds of fresh fruits and vegetables?

• NoGO TO QUESTION A49, PAGE 7

• Yes

49. How important is selling many different kinds of fresh fruits and vegetables as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

51. Do you shop at this store because it is in a safe area?

• No  GO TO QUESTION A51

• Yes

52. How important is being in a safe area as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

53. Do you shop at this store because it is clean?

• No  GO TO QUESTION A53

• Yes

54. How important is being clean as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

55. Do you shop at this store because it sells fruits and vegetables that are locally grown?

• No  GO TO QUESTION A55

• Yes

56. How important is selling fruits and vegetables that are locally grown as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

57. Do you shop at this store because it has helpful employees?

• No  GO TO QUESTION A57

• Yes

58. How important is having helpful employees as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

59. Do you shop at this store for some other reason?

• NoGO TO QUESTION A59, PAGE 8

• Yes

Please tell us the reason
__________________________

60. How important is this other reason as a reason that you shop at this store?

• Very important

• Somewhat important

• Only a little important

• Not at all important

Please continue to think about the store you marked in Question A30.

61. In the past year, how many times did you use your SNAP/EBT card to buy fresh fruits and vegetables at this store?

• Almost every time  GO TO QUESTION A61

• Sometimes

• Almost never

• Never

• Store does not accept SNAP/EBT card  GO TO QUESTION A61

62. How often do you run out of money on your SNAP/EBT card when buying fresh fruits and vegetables at this store?

• Almost every time

• Some of the time

• Rarely

• Never

63. How do you get to the store where you buy most of your fresh fruits and vegetables?

CHECK ALL that apply

• Walk

• Car

• Bike

• Taxi

• Public transportation (bus/subway/train)

• Some other way

64. Please think about the time from when you leave for this store to when you arrive at this store. How long does it usually take you to get this store?

• Less than 10 minutes

• 10 to 20 minutes

• 21 to 30 minutes

• More than 30 minutes

Section B

Shopping at Farmers Markets

This section asks you about shopping at farmers markets.

1. In the past year, how many farmers markets did you shop at?

• 1

• 2

• 3 or more

• None GO TO SECTION D, PAGE 24

2. When you shop at farmers markets, do you buy more fresh fruits and vegetables, fewer fresh fruits and vegetables, or about the same amount as when you shop at other stores?

• More fresh fruits and vegetables

• Fewer fresh fruits and vegetables

• About the same amount of fresh fruits and vegetables

3. When you shop at farmers markets, do you buy fruits and vegetables you don’t normally buy at other stores?

• No

• Yes

4. Would you say the fruits and vegetables at farmers markets are more fresh, less fresh, or just as fresh as those at other stores?

• More fresh

• Less fresh

• Just as fresh

5. When you shop at farmers markets, do you or the people who live in your household end up eating more fresh fruits and vegetables than when you shop at other stores?

• No

• Yes

6. In the past year, how many times did you shop at farmers markets?

check one answer for each season

Season	Never	Less than once a month	Once a month	Every other week	Once a week	More than once a week
Spring (March, April, May)						
Summer (June, July, August)						
Fall (September, October, November)						
Winter (December, January, February)						

7. How do you pay for what you buy at farmers markets?

check all that apply

• SNAP/EBT card

• Cash

• Personal check

• WIC Cash Value (fruit and vegetable) Voucher

• WIC Farmers market Nutrition Program coupon

• Senior Farmers market Nutrition Program coupon

• Some other way

Please tell us how.

______________________________

8. How much do you usually spend on a trip to a farmers market?

• Less than $5

• $5 – $10

• $11 – $15

• $16 – $20

• More than $20

9. How much of the money you marked in question B8 do you usually spend on fruits and vegetables?

• None of it

• A little of it

• Some of it

• Most of it

• All of it

10. Do you buy all your fruits and vegetables at farmers markets?

• No

• Yes  Go to QUESTION B12

11. Compared to the amount of fruits and vegetables you get at other stores, how much of your fruits and vegetables do you get from the farmers market?

• I get MORE fruits and vegetables from the farmers market than I do from other stores

• I get FEWER fruits and vegetables from the farmers market than I do from other stores

• I get the SAME AMOUNT of fruits and vegetables from the farmers market as I do from other stores

12. How much of your SNAP/EBT benefits do you spend on fresh fruits and vegetables at farmers markets?

• None

• A little

• Some of it

• Most of it

• All of it

13. How did you know that you can use your SNAP/EBT card at the farmers markets where you shop?

Check all that apply

• Word of mouth

• Signs posted at the farmers market

• Signs posted somewhere other than the farmers market

• Flier in the mail

• Some other way?

Please tell us how.
______________________________

• I didn’t know I could use my SNAP/EBT card at the farmers market

Section C

Shopping at a Farmers Market in Your Neighborhood

There’s a farmers market very close to where you live or shop.

The name of the market is: {Fill FARMERS MARKET}.

The address is: {Fill FARMERS MARKET ADDRESS}.

This section asks you questions about this farmers market.

In Section C, all questions are about the farmer market listed above and we refer to it as {Fill FARMERS MARKET}.

1. In the past year, did you ever shop at {Fill FARMERS MARKET}?

• Yes

• No  GO TO SECTION D, PAGE 24

2. How long have you been shopping at {Fill FARMERS MARKET}?

• Less than 1 year

• 1-2 years

• 3-4 years

• More than 4 years

3. In the past year, how many times did you shop at {Fill FARMERS MARKET}?

check one answer FOR EACH SEASON

Season	Never	Less than once a month	Once a month	Every other week	Once a week	More than once a week
Spring (March, April, May)						
Summer (June, July, August)						
Fall (September, October, November)						
Winter (December, January, February)						

4. How do you get to {Fill FARMERS MARKET}?

CHECK ALL that apply

• Walk

• Car

• Bike

• Taxi

• Public transportation (bus/subway/train)

• Some other way

Please tell us how.

_______________________________

5. Please think about the time from when you leave for {Fill FARMERS MARKET} to when you arrive at {Fill FARMERS MARKET}. How long does it usually take you to get there?

• Less than 10 minutes

• 10-20 minutes

• 21-30 minutes

• More than 30 minutes

6. When you shop at {Fill FARMERS MARKET}, how many times do you buy each of the items in the table below?

check one answer FOR EACH TYPE OF FOOD

When I shop at {Fill FARMERS MARKET} I buy…	Almost Every time	Some of the time	Rarely	Never	Not Sold at THIS FARMERS MARKET
Fruits					
Vegetables					
Meat (like beef or chicken) or Fish					
Eggs					
Dairy products like milk, yogurt, or cheese					
Baked goods like bread, pie, or cake					
Honey					
Fruit juice or fruit drinks					
Food in cans or jars like jam, jelly or pickles					
Some other kind of food Please tell us what kind ________________________					

7. Think about the fresh fruits and vegetables at {Fill FARMERS MARKET}. Then read each of the statements in the table below. Mark whether you agree or disagree with each one.

check one answer FOR EACH STATEMENT

	Strongly Agree	Somewhat Agree	Neither Agree nor Disagree	Somewhat Disagree	Strongly Disagree
There are more kinds of fresh fruits and vegetables at {Fill FARMERS MARKET} than in the stores I shop at.					
The quality of the fresh fruits and vegetables at {Fill FARMERS MARKET} are better than in the other stores or markets I shop at.					

8. What are the prices of fresh fruits and vegetables like at {Fill FARMERS MARKET}?

• A lot higher than in other stores or markets

• A little higher than in other stores or markets

• About the same as in other stores or markets

• A little lower than in other stores or markets

• A lot lower than in other stores or markets

We are interested in the reasons you shop at {Fill FARMERS MARKET}. The items below ask about reasons that have to do with price, quality or convenience. When answering questions C9 to C26 please think about whether it is a reason you shop at {Fill FARMERS MARKET}.

9. Do you shop at {Fill FARMERS MARKET} because it is close to where you live?

• NoGo to QUESTION c11, PAGE 14

• Yes

10. How important is being close to where you live as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

11. Do you shop at {Fill FARMERS MARKET} because it is easy for you to get to?

• No  Go to QUESTION c13

• Yes

12. How important is being easy to get to as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

13. Do you shop at {Fill FARMERS MARKET} because it is open at convenient times?

• No  Go to QUESTION c15

• Yes

14. How important is being open at convenient times as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

15. Do you shop at {Fill FARMERS MARKET} because it has low prices on fresh fruits and vegetables?

• No  Go to QUESTION c17

• Yes

16. How important is having low prices on fresh fruits and vegetables as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

17. Do you shop at {Fill FARMERS MARKET} because it has good specials or deals?

• No  Go to QUESTION c19

• Yes

18. How important is having good specials or deals as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

19. Do you shop at {Fill FARMERS MARKET} because it sells high quality fruits and vegetables?

• NoGo to QUESTION c21, page 15

• Yes

20. How important is selling high quality fruits and vegetables as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

21. Do you shop at {Fill FARMERS MARKET} because it takes your SNAP/EBT card?

• No  Go to QUESTION c23

• Yes

22. How important is taking your SNAP/EBT card as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

• Not at all important

23. Do you shop at {Fill FARMERS MARKET} because you can use your WIC Farmers Market coupons there?

• No  Go to QUESTION c25

• Yes

24. How important is being able to use your WIC Farmers Market coupons as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

25. Do you shop at {Fill FARMERS MARKET} because you can use your Senior Farmers Market coupons there?

• NoGo to QUESTION c27, PAGE 16

• Yes

26. How important is being able to use your Senior Farmers Market coupons as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

The items below are more reasons that you may shop at {Fill FARMERS MARKET}. For questions C27 through C42, please think only about {Fill FARMERS MARKET}.

27. Do you shop at {Fill FARMERS MARKET} because it sells many different kinds of fresh fruits and vegetables?

• No  Go to QUESTION c29

• Yes

28. How important is selling many different kinds of fresh fruits and vegetables as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

29. Do you shop at {Fill FARMERS MARKET} because it sells fruits and vegetable you can’t find anywhere else?

• No  Go to QUESTION c31

• Yes

30. How important is selling fruits and vegetables you can’t find anywhere else as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

31. Do you shop at {Fill FARMERS MARKET} because it sells fruits and vegetables that are locally grown?

• No  Go to QUESTION c33

• Yes

32. How important is selling fruits and vegetables that are locally grown as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

33. Do you shop at {Fill FARMERS MARKET} because you have special health or diet issues?

• NoGo to QUESTION c35, PAGE 17

• Yes

34. How important is having special health or diet issues as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

35. Do you shop at {Fill FARMERS MARKET} because it is clean?

• No  Go to QUESTION c37

• Yes

36. How important is being clean as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

37. Do you shop at {Fill FARMERS MARKET} because the staff and sellers are helpful?

• No  Go to QUESTION c39

• Yes

38. How important is having staff and sellers that are helpful as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

39. Do you shop at {Fill FARMERS MARKET} because it is in a safe area?

• No  Go to QUESTION c41

• Yes

40. How important is being in a safe area as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

41. Do you shop at {Fill FARMERS MARKET} because there is parking nearby?

• NoGo to QUESTION c43, page 18

• Yes

42. How important is having parking nearby as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

The items below are other reasons that you may shop at {Fill FARMERS MARKET}. For questions C43 through C66, please think only about {Fill FARMERS MARKET}.

43. Do you shop at {Fill FARMERS MARKET} because there are cooking demonstrations?

• No  Go to QUESTION c45

• Yes

44. How important is having cooking demonstrations as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

45. Do you shop at {Fill FARMERS MARKET} because I can get prepared food or meals there?

• No  Go to QUESTION c47

• Yes

46. How important is being able to get prepared food or meals as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

47. Do you shop at {Fill FARMERS MARKET} because it sells more than just food, like jewelry, art work, and clothes?

• No  Go to QUESTION c49

• Yes

48. How important is selling more than just food, like jewelry, art work, and clothes as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

49. Do you shop at {Fill FARMERS MARKET} because it sells plants and seeds?

• NoGo to QUESTION c51, page 19

• Yes

50. How important is selling plants and seeds as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

51. Do you shop at {Fill FARMERS MARKET} because you can get health information, screening tests or exams, or vaccines there?

• No  Go to QUESTION c53

• Yes

52. How important is being able to get health information, screening tests or exams, or vaccines there as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

53. Do you shop at {Fill FARMERS MARKET} because a social service worker is there?

• No  Go to QUESTIONc55

• Yes

54. How important is having a social worker there as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

55. Do you shop at {Fill FARMERS MARKET} because you can get nutrition information there?

• No  Go to QUESTION c57

• Yes

56. How important is being able to get nutrition information as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

57. Do you shop at {Fill FARMERS MARKET} because it is a fun place to be?

• NoGo to QUESTION c59, page 20

• Yes

58. How important is being a fun place to be as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

59. Do you shop at {Fill FARMERS MARKET} because there is entertainment or cultural activities (like live music or festivals)?

• No  Go to QUESTION c61

• Yes

60. How important is having entertainment or cultural activities as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

61. Do you shop at {Fill FARMERS MARKET} because you can meet people from your community there?

• No  Go to QUESTION c63

• Yes

62. How important is being able to meet people from your community as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

63. Do you shop at {Fill FARMERS MARKET} because you can talk with the people who grow the fruits and vegetables?

• No  Go to QUESTION c65

• Yes

64. How important is being able to talk with the people who grow the fruits and vegetables as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

65. Do you shop at {Fill FARMERS MARKET} for some other reason?

• NoGo to QUESTION c67, page 21

• Yes

Please tell us the reason
__________________________

66. How important is this other reason as a reason that you shop at {Fill FARMERS MARKET}?

• Very important

• Somewhat important

• Only a little important

• Not at all important

67. Is there anything that keeps you from shopping for fresh fruits and vegetables at {Fill FARMERS MARKET} as much as you want to?

• No è GO TO QUESTION C71

• Yes

68. Which of these is a reason that keeps you from shopping for fresh fruits and vegetables at {Fill FARMERS MARKET} as much as you want to?

CHECK ALL that apply

• It’s not close to where I live

• It’s not easy to get to

• It’s not in a safe area

• It’s not close to public transportation

• It’s not open on days or times that are convenient to me

• It is hard to park nearby

• None of these reasons

69. Other reasons such as price, variety, and quality also affect how often people shop at farmers markets. Which of these reasons keep you from shopping at {Fill FARMERS MARKET} as much as you want to?

CHECK ALL that apply

• The prices are too high

• There aren’t enough kinds of fresh fruits and vegetables available

• The fresh fruits and vegetables look like they are in bad condition

• None of these reasons

70. What else keeps you from shopping at {Fill FARMERS MARKET} as much as you want to?

CHECK ALL that apply

• I don’t want anyone to see me use my SNAP/EBT card

• The staff and sellers don’t speak my language

• It’s easier to buy all my groceries at one store

• Some other reason

Please tell us why
__________________________

• None of these reasons

71. In the past year, how did you pay for fresh fruits and vegetables you bought at {Fill FARMERS MARKET}?

CHECK ALL that apply

• SNAP/EBT card

• Cash

• Personal check

• Credit card or debit card

• WIC Cash Value (fruit and vegetable) Voucher

• WIC Farmers Market Nutrition Program Coupon

• Senior Farmers Market Nutrition Program Coupon

• Other

Please tell us how you paid.
__________________________

The next questions are about using your SNAP/EBT card at {Fill FARMERS

MARKET}.

72. In the past year how many times did you use your SNAP/EBT card to buy fresh fruits and vegetables at {Fill FARMERS MARKET}?

• Almost every time è GO TO QUESTION C75

• Sometimes

• Almost never

• Never

• Didn’t know market accepts SNAP/EBT card

73. Why don’t you use your SNAP/EBT card more often to buy fresh fruits and vegetables at {Fill FARMERS MARKET}?

CHECK ALL that apply

• There are no signs posted that say this market takes SNAP/EBT

• I didn’t know I could use my card here

• It takes too long to process the card

• I don’t want anyone to see me use my SNAP/EBT card

• I do all my SNAP/EBT shopping at the grocery store

• I run out of money on my card

• Some other reason

Please tell us why
____________________________

74. Of the reasons you indicated in question C73 which is the one MOST important reason you don’t use your SNAP/EBT card at {Fill FARMERS MARKET} more often?

CHECK ONLY ONE answer

• There are no signs posted that say this market takes SNAP/EBT

• I didn’t know I could use my card here

• It takes too long to process the card

• I don’t want anyone to see me use my SNAP/EBT card

• I do all my SNAP/EBT shopping at the grocery store

• I run out of money on my card

• Some other reason

Please tell us why
____________________________

For these next questions please think only about using your SNAP/EBT card. Please do not include WIC or Senior Farmers Market Coupons in your answers.

75. Does {Fill FARMERS MARKET} give you any deals, coupons or other promotions to use your SNAP/EBT card?

• No è GO TO SECTION E, PAGE 27

• Yes

• I don’t know è GO TO SECTION E, PAGE 27

Think about the deals, coupons or other promotions you get for using your SNAP/EBT card at {Fill FARMERS MARKET}.

76. What kind of deals, coupons, or other promotions does {Fill FARMERS MARKET} give you when you use your SNAP/EBT card?

• A onetime deal at the beginning of the season

• A deal every time I shop

• Some other kind of deal

• I’m not sure

77. How important are these deals, coupons, or other promotions for using your SNAP/EBT card in getting you to shop at {Fill FARMERS MARKET}?

• Very important

• A little important

• Not very important

• Not important at all

78. Do you think you shop at {Fill FARMERS MARKET} more than you would if you didn’t get these deals for using your SNAP/EBT card?

• Yes, I shop more because of the deals

• No, I don’t shop more because of the deals

79. Do you think you use more of your SNAP/EBT benefits at {Fill FARMERS MARKET} than you would if you didn’t get these deals?

• Yes, I use more of my SNAP/EBT benefits because of the deals

• No, I don’t use more of my SNAP/EBT benefits because of the deals

80. Do you think you or the people who live in your household eat more fresh fruits and vegetables than they would if you didn’t get the deals for using your SNAP/EBT card at {Fill FARMERS MARKET}?

• Yes, we eat more fresh fruits and vegetables because of the deals

• No, we don’t eat more fresh fruits and vegetables because of the deals

è GO TO SECTION E, PAGE 27

Section D

Reasons for Not Shopping at A Farmers Market

1. The following reasons can keep people from shopping at the farmers market. Do any of these reasons keep you from shopping at farmers markets?

CHECK ALL THAT APPLY

• It’s not easy to get to

• It’s not in a safe area

• It’s not close to public transportation

• It’s not open on days that are convenient to me

• It’s not open at times that are convenient to me

• It’s hard to park nearby

• None of these reasons

2. Other reasons such as price, variety, and quality also affect whether people shop at farmers markets. Do any of these reasons keep you from shopping at farmers markets?

CHECK ALL THAT APPLY

• The prices are too high

• There aren’t enough kinds of fresh fruits and vegetables available

• The fresh fruits and vegetables look like they are in bad condition

• None of these reasons

3. The following are other reasons that keep people from shopping at farmers markets. Do any of these reasons keep you from shopping at farmers markets?

CHECK ALL THAT APPLY

• It’s hard to find deals or get a good value for my money

• The staff and sellers don’t speak my language

• It’s easier to buy all my groceries at one store

• Some other reason

Please tell us why
____________________________

4. Before taking this survey, did you know that you could use your SNAP/EBT card at some farmers markets?

• NoèGO TO QUESTION D6, PAGE 25

• Yes

5. How did you know that you can use your SNAP/EBT card at these farmers markets?

Check all that apply

• Word of mouth

• Signs posted at the farmers market

• Signs posted somewhere other than the farmers market

• Flier in the mail

• Some other way?

Please tell us how.
______________________________

6. Some farmers markets give you special deals or coupon when you use your SNAP/EBT card. Do you know about these deals?

• No

• Yes

One of the following three items will be randomly selected to appear on each survey.

7. How likely are you to shop at a farmers market that gives you a $1 coupon for every $1 you spend with your SNAP/EBT card up to $5?

• Very likely

• Somewhat likely

• Not very likely

• Not at all likely

How likely are you to shop at a farmers market that gives you a $1 coupon for every $1 you spend with your SNAP/EBT card up to $10?

• Very likely

• Somewhat likely

• Not very likely

• Not at all likely

How likely are you to shop at a farmers market that gives you a $2 if you spend $5 with your SNAP/EBT card?

• Very likely

• Somewhat likely

• Not very likely

• Not at all likely

8. You can get more than just food at some farmers markets. Read the items listed in the table below. How likely are you to shop at a farmers market if these things are available?

check one answer for each item

How likely are you to shop at a farmers market if …	Very likely	Somewhat likely	Only a little likely	Not at all likely	Not sure
There were cooking demonstrations					
They sold prepared food or meals					
They sold jewelry, art work, or clothes					
They sold plants and seeds					
Health information, Screening tests or exams, or vaccinations were available					
Nutrition information was available					
A social service worker was available					
There was entertainment or cultural activities (like live music or other events)					
There were activities for children					
Something else Please tell us what _____________________________					

Section E

About You and Your Household

This section is about the people who live in your household. This means you, your family and other people who live with you and share food and food expenses with you.

1. Do you have children living in your household?

• No è GO TO E4

• Yes

2. In the past year, did any children who live in your household get free or reduced price lunch from the National School Lunch Program?

• No

• Yes

3. In the past year, did any children who live in your household go to a Head Start program or a childcare program where they got free meals?

• No

• Yes

4. In the past year, did you or anyone who lives in your household get help from WIC?

• No

• Yes

5. In the past year, did you or anyone who lives in your household get WIC Farmers Market Nutrition Program coupons?

• No

• Yes

6. In the past year, did you or anyone who lives in your household get Senior Farmers Market Nutrition Program coupons?

• No

• Yes

7. In the past year, did you or anyone who lives in your household get help from Meals on Wheels or the Senior Nutrition Program?

• No

• Yes

8. In the past year, did you or anyone who lives in your household get any other type of food assistance, such as from food banks, food pantries or other organizations?

• No

• Yes

9. Are you:

• Male

• Female

10. How old are you?

• 18-29 years old

• 30-39 years old

• 40-49 years old

• 50-59 years old

• 60 and older

11. Choose the best answer below that describes your current situation.

CHECK ALL THAT APPLY

• Employed for wages

• I’m self-employed

• I’ve been out of work for more than 1 year

• I’ve been out of work for less than 1 year

• I’m a homemaker

• I’m a student

• I’m retired

• I can’t work

12. What was your total household income last year, before taxes or other deductions?

• Under $10,000

• $10,000 - $19,999

• $20,000-29,999

• $30,000-39,999

• $40,000-49,999

• Over $50,000

13. Are you Hispanic, Latino/a or Spanish Origin?

• No

• Yes

14. What race or races do you consider yourself?

CHECK ALL THAT apply

• American Indian or Alaska Native

• Asian

• Black or African American

• Native Hawaiian or Other Pacific Islander

• White

15. Were you born outside of the United States, Puerto Rico, or other U.S. territories?

• No è GO TO QUESTION E16

• Yes

16. How long have you lived in the United States?

• Less than 1 year

• 1 year but less than 5 years

• 5 years but less than 10 years

• More than 10 years

17. What language or languages do you usually speak at home?

CHECK ALL THAT APPLY

• English

• Spanish

• Some other language or languages

Please tell us which ones.
____________________________

18. Including yourself, how many people are in your household with whom you share food and food expenses? Please don’t count people who have separate {FILL REGIONAL SNAP NAME} benefits.

Write the number here:

19. How many of these people are more than 60 years old?

Write the number here:

20. How many are 5–17 years old?

Write the number here:

21. How many are under 5 years old?

Write the number here:

Thank you for taking this survey. Please mail it back to us in the envelope provided. We’ll mail you a $20 gift card once we have your survey.

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this collection is 0584-0564. The time required to complete this information collection is estimated to average 60 minutes per response, including the time to review instructions, searching existing data resources, gather the data needed, and complete and review the information collected.