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Does receiving meals improve your health? ______ Yes ______ No Does meals on wheels help you to continue living at home? _____ Yes ______ No As a result of receiving meals on wheels, do you feel better? _____ Yes ______ No In the last year, have you worried that you would not have enough money for food? ____Yes ____No In the last year, did you have a problem having food last and you did not have enough money to get more food? ___Yes ____No Do you prefer your meals ____ Chilled, for you to microwave? ____or Hot? What is your favorite part of the meal? ___Soup/Salad ___Entree ___Fruit ___Sweet desserts Please tell us why you are getting meals? (check all that apply) ____ Illness/disability/fall ____ Low income _____ Cannot cook or shop _____ Recent discharge from health facility ______Sheltering in place due to the pandemic Which other social services have you utilized because one of our client services staff referred you? (Please check all that apply) Fall Prevention and Safety Checks: Life Eldercare Fall  Vital Link  Tele-Care  Housing: Eden I&R  Oakland Housing Authority  ECHO Housing  In Home Care: In Home Supportive Services  Public Authority for IHSS  Center for Independent Living  Family Caregiver Alliance  Transportation: Paratransit  Taxi discount vouchers  Oakland Taxi Up and Go  VIP Rides  No. Oakland Village  Food: Alameda Co. Food Bank  Mercy Brown Bag  CalFresh (food stamps)  Spectrum Community Meals  Assistive Technology and Medical Devices: Community Resources for Independent Living  Center for Independent Living  Rebuilding Together  ReCARES  Utilities Assistance: CA Telephone Access  Lifeline  Home Energy Assistance Program  PG&E  Legal Assistance for Seniors 