HungerCount 2014 Survey
HungerCount 2014 Survey
INSTRUCTIONS
As in past years, HungerCount 2014 asks for information from food banks and other food
programs, including soup kitchens, only for the month of March 2014.
Please complete this questionnaire by MAY 16, 2014 and return to your HungerCount 2014
Provincial Coordinator (see contact information below). And please keep a copy for your
records! We may have follow-up questions for you, and it helps to have a copy at hand.
For an electronic version of this questionnaire, the HungerCount 2014 Survey Guide,
and the HungerCount Survey Worksheet (which can help you keep track of information
for the survey), please go to www.foodbankscanada.ca/hungercountsurvey .
** To submit your completed survey, or if you have any questions, please contact your
HungerCount Provincial Coordinator.
NL: Eg Walters
NS: Julianne Acker-Verney
QC: Zakary Rhissa
MB: Karen Flett
AB: Stephanie Rigby
709-722-0130
902-457-1900
450-444-4040
204-982-3663
780-459-4598
PE: Mike MacDonald
NB: George Piers
ON: Amanda King
SK: Amy Peña
BC: Sharon Premia
902-892-7092
506-363- 4217
416-656-4100 x2932
306-791-6533 x281
604-498-1798
Diana Stapleton, HungerCount Coordinator, Food Banks Canada
Food Banks Canada HungerCount Data Use Policy
Food Banks Canada uses information from the HungerCount survey to provide current and prospective
donors, government, academia, the media, the general public, and other audiences with information
about food bank and other food program use in Canada.
Food Banks Canada reserves the right to use and disseminate national-, provincial-, regional-, and, when
appropriate, community-level information provided in the HungerCount at its discretion. Food Banks
Canada will not, however, release information respecting an individual food bank to media, government,
or the general public, without first consulting with that food bank.
HungerCount 2014 Survey
SURVEY
Please provide the following information about your organization:
Organization Name:
Mailing Address:
City/Town:
Province:
Phone 1: (
Fax: (
)
Phone 2: (
)
Postal Code:
)
Email:
Website:
Number of agencies to which you provide food:
Survey Contact Person:
ATTENTION: MEAL PROGRAMS - Answer Q1-6, 15-23 Only
A. BASIC SERVICE INFORMATION
1.
What is the primary service provided by your organization? (PLEASE CHECK ONE ONLY.)
 Primarily food-related (e.g. food bank, soup kitchen, meal delivery, etc.)
 Primarily non-food-related (e.g. shelter, drop-in centre, other service delivery, etc.)
2.
Which of the following services are provided by you or by the affiliated agencies for whom
you are reporting? (PLEASE CHECK ALL THAT APPLY.)
 Grocery program (e.g. hampers, bags, boxes, etc. of food for clients to take home)
 Meal program (e.g. soup kitchen, meals provided at shelters, etc.)
 Snack program (e.g. school or day care snacks)
 Warehouse/distribution centre
3.
(a) Do you regularly receive food from another food bank in your region?
 Yes
 No
(b) If yes, which food bank: __________________________________________
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4.
(a) Do you regularly provide food to other social service agencies in your region (e.g. food
banks, soup kitchens, shelters, Boys and Girls Clubs, breakfast programs, etc.)?
 Yes
 No
(b) Are these agencies included in some or all of your answers to this survey?
 No
 Yes – all answers
 Yes – some answers (please specify:_______________)
If you answered yes, please attach a list of all the agencies you supply.
5.
Does your organization provide any of the following services or programs? (PLEASE CHECK
ALL THAT APPLY.)
 Community kitchen
 Budgeting/home economics information
 Community garden or garden plots
 Distribution of diet-specific foods (gluten
free, diabetic, vegetarian)
 Nutrition education
 Advocacy for clients
 Clothing/thrift store
 Low-cost or free furniture
 Mobile hamper program/delivery of food
 Community service information/referrals
 Assistance with employment search
 Low-cost produce, e.g. Good Food Box
 Emergency or preventative health care
services (e.g. public health nurse)
 Emergency housing/shelter
 Programs for pregnant women/new moms
 Holiday Hampers
 Child care/other programs for children and
youth
 Income tax preparation
 Distribution of culturally-specific foods
(Halal, kosher, etc.)
 None of the above
 Training or education (please describe): ________________________________________
___________________________________________________________________________
___________________________________________________________________________
 Other (please describe): _____________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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B. CLIENT INFORMATION – MEAL/SNACK PROGRAMS ONLY
6.
How many individual meals and/or snacks were served in March 2014 by your
organization or the agencies you are reporting for?
___________ Meals provided by your org.
___________ Snacks provided by your org.
___________ Meals provided by agencies
___________ Snacks provided by agencies
C. CLIENT INFORMATION – GROCERY PROGRAMS ONLY
7.
IN THE MONTH OF MARCH 2014 ONLY, how many separate individuals received
GROCERIES (i.e. boxes, bags, etc. of food) from your food bank and/or affiliated
agencies?
PLEASE COUNT EACH PERSON ONLY ONCE, regardless of the number of times they were
assisted in March. Include the people who came to your organization for food, and all of
the people in their families at home.
____________ Adults (18 years or older)
____________ Children (under 18 years)
____________ Total (adults + children)
8.
IN THE MONTH OF MARCH 2014 ONLY, how many total individuals received GROCERIES
from your food bank and/or affiliated agencies?
For this question, please count each person once for each time they were assisted in
March (total number of visits). Include the people who came to your organization for
food, and all of the people in their families at home.
For example:
300 individuals assisted once = 300 total
300 individuals assisted twice = 600 total
175 individuals assisted three times = 525 total
____________ Adults (18 years or older)
____________ Children (under 18 years)
____________ Total (adults + children)
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For question 9, provide figures for SEPARATE ADULTS (age 18+) ONLY. Numbers may overlap. For
example, a single female over age 65 would count as ‘1’ for “women,” and ‘1’ for “seniors”.
9.
Of the total number of separate adults, how many were:
a. Women __________
d. First Nations, Inuit, or Métis __________
b. Seniors over age 65 __________
e. New immigrants or refugees (in Canada
c. Post-Secondary Students ____________
less than 10 years) _______________
**Questions 10 to 14 refer to number of HOUSEHOLDS.
10.
IN MARCH 2014, what was the total number of separate households that received
groceries from your food bank and/or affiliated agencies?
PLEASE COUNT EACH HOUSEHOLD ONLY ONCE, regardless of the number of times they
were assisted in March. For the purposes of this survey; a HOUSEHOLD is defined as a
family that shares the food provided by your food bank. For example, a family of four, a
childless couple, or a single person would each be considered households.
_____________ Households
11.
How many of the separate households assisted in March 2014 were:
Single-parent families
________
Two-parent families
________
Couples with no children
________
Single people
________
TOTAL
________
 don’t know
NOTE: Two or more single people
sharing living quarters should be
counted as separate “single people”
households for the purpose of this
survey.
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12.
13.
How many of the separate households reported that their PRIMARY SOURCE of income
was from:
Employment
_______
Employment Insurance
_______
Social assistance (welfare)
_______
Disability related benefits
_______
Old age pension
_______
Student loans/scholarships
_______
No income
_______
Other income
_______
TOTAL
_______
 don’t know
How many of the separate households assisted were living:
In a home they own
_______
In private rental housing
_______
In social (public) rental housing
_______
In band-owned housing
_______
In an emergency shelter
_______
For definitions of housing
types please see guide book.
In a group home or shelter for youth _______
14.
On the street
_______
Temporarily with family or friends
_______
TOTAL
_______
 don’t know
How many of the separate households assisted in March 2014 were seeking help from
your food bank and/or affiliated agencies for the first time ever?
________________ households
 don’t know
(* Please note that if you have questions about the survey, you can access the
HungerCount 2014 Survey Guide at www.foodbankscanada.ca/hungercountsurvey.)
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D. OPERATIONAL INFORMATION
(*If you run a warehouse, food bank or meal program please answer the following questions)
15.
How many paid staff worked at your organization in March 2014?
 don’t know
________________ paid staff
16.
How many paid staff hours were worked at your organization in March 2014?
________________ (# of hours)
17.
How many volunteers worked at your organization in March 2014 (including Board of
Directors)?
________________ volunteers
18.
 don’t know
 don’t know
How many volunteer hours were worked at your organization in March 2014
(including Board of Directors)?
________________ (# of hours)
19.
 don’t know
Does your food bank have any of the following?
How Many?
20.
One or more standard refrigerators
____
 No
Walk-in refrigerator/cooler
____
 No
Stand up or chest freezer
____
 No
Walk-in freezer
____
 No
Truck for pick-ups or deliveries
____
 No
Refrigerated Truck
____
 No
IN THE PAST FISCAL YEAR did you receive funding from…?
Federal Government
 Yes  No
Provincial Government (excluding Lottery and Gaming)
 Yes  No
Municipal Government
 Yes  No
Lottery and Gaming
 Yes  No
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21.
IN THE PAST FISCAL YEAR what percentage of the food you distributed was…?
Non-perishable (canned, boxed, dry)
____________
Perishable (fresh, chilled, frozen)
____________
Bread and bread related products (buns, bagels, etc.)
____________
(The total of these three options will equal 100%)
22.
IN THE PAST TWELVE MONTHS, did your organization . . . ?
(PLEASE CHECK ALL THAT APPLY.)
Run out of food?
 Yes
 No
Give people less than usual (because you were running out)?
 Yes
 No
Buy food (increased versus prior year due to insufficient food
donations)?
 Yes
 No
Close early or not open (due to lack of food)?
 Yes
 No
Turn people away without food (because you ran out)?
 Yes
 No
Contact another food bank for food?
 Yes
 No
Contact the provincial association of food banks for food?*
 Yes
 No
Contact another organization/resource for food? Please describe:
_____________________________________________________
_____________________________________________________
_____________________________________________________
* NOTE: Check “yes” only if you requested extra food from the provincial association
above and beyond expected deliveries.
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E. POLICY POSITIONS
23.
Throughout the year, Food Banks Canada uses information gleaned from HungerCount to
influence government policy affecting hunger in Canada.
Please rank each of the following recommended government policy changes in terms of their
importance in alleviating hunger in your community. Give a ranking number to each
statement.
5 = Extremely Important; 4 = Very important; 3 = Moderately important;
2 = Of little importance; 1 = Not at all important
___ Improve access to Employment Insurance
___ Raise pension levels for seniors
___ Increase access to affordable child care
___ Increase social assistance benefit levels
___ Lower business income tax rates
___ Lower personal income tax rates
___ Raise provincial minimum wage levels
___ Lower or freeze tuition rates for postsecondary education
___ Pay down government debt
___ Expand supports for new immigrants
___ Expand job training options for adults
___ Increase the stock of affordable housing
___ Increase levels of provincial disability
income supports
___ Increase addictions services and supports
___ Increase mental health supports
___ Increase federal tax benefits for
individuals and families
___Other______________________
_________________________
Survey completed by
_________________________
Signature
____________________
Date
THANK YOU FOR YOUR PARTICIPATION!
Please remember to keep a copy for your records.
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