Give a Meal, Change a Life

Welcome Survey

Please take a couple of minutes to tell us a little more about yourself.

Contact information:

Name:

First Required	Last Required

Email: Required

Street 1:

Street 2:

City/State/ZIP:

City	State	ZIP

Gender:

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Question - Not Required - How did you hear about the Food Bank?

Question - Not Required - How are you involved with the Houston Food Bank? (check all that apply)

	I donate money
	I donate food
	I volunteer
	I reach out to my representatives in Congress
	I host food drives
	I am not involved

Question - Not Required - Other: (please explain)

Question - Not Required - What is your primary mode of involvement? (pick one)

Question - Not Required - On a scale of 1-10, with 1 being not involved at all and 10 being very involved, how involved are you with the Houston Food Bank? [Scale of 1-10]

Question - Not Required - How do you prefer to learn about the Houston Food Bank and our activities? (check all that apply)

	Newsletter
	Email
	Phone
	Website
	Social media Facebook, Twitter, YouTube, Flickr

Question - Not Required - How frequently (or infrequently) do you prefer to learn of community news, opportunities to get involved and uplifting stories by email?

Question - Not Required - Is there anything else that we've forgotten to ask that you'd like to share with us?

535 Portwall St. • Houston, TX 77029
Donor Services: 713.547.8623
Main: 713.223.3700
contact@houstonfoodbank.org .

PRIVACY STATEMENT

The Houston Food Bank is registered as a 501(c)(3) non-profit organization. Contributions are tax-deductible to the extent permitted by law, tax identification number 74-2181456. The Houston Food Bank believes in conducting business with the utmost honesty and integrity. Lighthouse Services assists the Houston Food Bank to identify any potential improper activity. Lighthouse is committed to protecting the identity of community members, including Food Bank staff, to submit confidential reports, suggestions, or complaints to a third party who helps the Houston Food Bank administration resolve issues while maintaining professional standards. View the Houston Food Bank’s Web Privacy Policy and Donor Privacy Code.