Food Insecurity Survey

Please circle the answer that best describes you.


1. Did you worry that food at home would run out before your family got money to buy more? _______ A LOT _______ SOMETIMES _______ NEVER

2. Did the food that your family bought run out, and you didn’t have money to get more?
 _____ A LOT _____ SOMETIMES _____ NEVER

3. Did your meals only include a few kinds of cheap foods because your family was running out of money to buy food? _____ A LOT _____ SOMETIMES _____ NEVER

4. How often were you not able to eat a balanced meal because your family didn’t have enough money?
 _____ A LOT _____ SOMETIMES _____ NEVER

5. Did you have to eat less because your family didn’t have enough money to buy food?
_____ A LOT _____ SOMETIMES _____ NEVER

6. Has the size of your meals been cut because your family didn’t have enough money for food? _____ A LOT _____ SOMETIMES _____ NEVER

7. Did you have to skip a meal because your family didn’t have enough money for food?
_____ A LOT _____ SOMETIMES _____ NEVER

8. Were you hungry but didn’t eat because your family didn’t have enough food?
_____ A LOT _____ SOMETIMES _____ NEVER

9. Did you not eat for a whole day because your family didn’t have enough money for food?
 _____ A LOT _____ SOMETIMES _____ NEVER