• EBT/SNAP Grocery Delivery Eligibility Survey

    Help us determine your eligibility for grocery delivery using EBT/SNAP benefits. Please answer all questions as accurately as possible.
  • Format: (000) 000-0000.
  • Are you currently enrolled in the EBT/SNAP program?*
  • What is your primary method of grocery shopping?*
  • What barriers, if any, do you face with in-person grocery shopping?*
  • What types of groceries would you most like to have delivered? (Select all that apply)*
  • How often would you use a grocery delivery service if eligible?*
  • Should be Empty:
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