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EXHIBIT C <br />Alameda County Senior Meals Program <br />Please complete our 2023 Meals Satisfaction Survey <br />Return by Friday, May 26, 2023 to your site coordinator <br />1. Name of the Spectrum meal site do you usually go? <br />2. Please tell us what you enjoy about the lunch/meal program: <br /> Tasty food <br /> Inexpensive meal <br />Don’t have to prepare a meal at home <br /> Other, please describe <br />3. How often are there menu substitutions? Often _Sometimes _Rarely <br />4. How many days a week do you receive a lunch meal? 1 2 3 4 5 less than one <br />5. Do you have diet restrictions? _Yes No <br />6. Would you like more? _soup _salads _sweet desserts _fresh fruit <br /> _deli sandwiches vegetarian meals _ethnic meals _fresh vegetables <br />7. Please list your most favorite lunch entrée: <br />8. Please list your least favorite lunch entrée: <br />9. Overall, how would you rate your food: <br /> <br /> <br />a. Appearance <br />b. Taste <br />c. Variety <br />d. Portion Size <br /> <br />10. How important is it to you to have healthy meals? Very Somewhat Not at all <br />11. What is your favorite part of the meal? _Soup/Salad _Entree _Fruit _Sweet desserts <br />12. Do you recommend this program to others? Yes No <br />13. In the last year, have you worried that you wouldn’t have enough money for food? Yes No <br />14. In the last year, did you have a problem having food last and you did not have enough money <br />to get more food? Yes No <br />15. About how much do you usually contribute towards the cost of the meal? Please circle. <br />Less than $1.00 $1.00-$1.99 $2.00-$2.99 $3.00-$3.99 $4.00 or more <br />16. Overall, how do you rate your program experience Great Very Good Good Fair Poor <br /> <br /> <br /> <br />OVER (continued on back) <br />Survey Continued <br />17. Do you eat 3 or more servings of fruits and vegetables a day? __ Yes <br /> <br /> <br />__ No <br />Excellent Very Good Good Fair Poor <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 793CB41E-1061-4DBD-890B-A42EFCFE90F8