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At Saints Food Share, we offer customized grocery bags tailored to meet the specific needs of each student. By providing
accurate
information, you help us create a weekly grocery bag that delivers the greatest benefit while minimizing waste. This survey only needs to be completed
once, unless
your dietary preferences or household details change.
This form is only for Saints Food Share’s internal use and will remain confidential.
First Name
Last Name
SF ID #
SF Email address
Do you have any food allergies or restrictions?
Grains
Please check off any item you are not able to eat
Bread
Rice
Tortillas
Noodles
Pasta
Quinoa
Canned Vegetables
Please check off any item you are not able to eat
Carrots
Corn
Green Beans
Mixed Vegetables
Mushrooms
Olives
Onions
Peas
Peppers
Potatoes
Pumpkin/Squash
Spinach
Sweet Potatoes
Tomatoes
Legumes
Please check off any item you are not able to eat
BBQ Baked Beans
Black Beans
Black-Eyed Peas
Garbanzo Beans
Kidney Beans
Lima Beans
White Beans
Canned Fruit
Please check off any item you are not able to eat
Applesauce
Cherries
Coconut
Oranges
Peaches
Pineapple
Raisins
Dried Fruit
Proteins
Please check off any item you are not able to eat
Canned Chicken
Canned Fish
Canned Ham/Sausage
Canned Tofu
Ready-to-eat
Please check off any item you are not able to eat
Canned Pasta
Cereal
Instant Potatoes
Macaroni and Cheese
Oatmeal
Pancake/Waffle Mix
Ramen Noodles
Canned Soup
Pantry Items
Please check off any item you are not able to eat
Broth
Flour/Baking Ingredients
Seasonings
Vegetable/Olive Oil
Vinegar
Sauces and Condiments
Please check off any item you are not able to eat
Honey/Sweeteners
Hot Sauce
Jelly/Jam
Ketchup
Mayonnaise
Mustard
Peanut Butter
Pickles
Salad Dressing
Salsa
Soy Sauce
Beverages
Please check off any item you are not able to eat
Coffee
Juice
Shelf-Stable Milk
Shelf-Stable Milk Substitute
Tea
Snacks
Please check off any item you are not able to eat
Chips
Crackers
Granola Bars
Nuts
Popcorn
Other restrictions
Are there any food items we did not include on the list that you cannot eat?
Living Situation
Which best describes your living sitution?
Please select...
I live alone
I live with roommates
I live with family members
If you live with family members, how many people do you live with (not including yourself)?
Does anyone in your family have food allergies or dietary restrictions?
Which is the primary SF location do you attend?
Please select...
NW Campus
Andrews Center
Blount Center
Davis Center
Kirkpatrick Center
Perry Center for Emerging Technologies
Watson Center
Online
