Union County, Ohio - UCATS - Shopping Survey

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UCATS - Shopping Survey

*First Name

*Last Name

*Phone Number

Please select your favorite grocery store out of the following four options

Please select your LEAST favorite grocery store out of the following four options

Is there a store or shopping location that you would like to visit on shopping days?

How much time does it typically take you to shop (To fill 2 grocery bags worth of items)?

Are there any challenges that you face when shopping with UCATS?

If UCATS has cancellations, would you be available for same-day trips to go shopping?

Yes

If YES, may we add your name and phone number to a list to contact in the future?

Yes

What day(s) of the week would be the best to go shopping (Select all that apply)

Monday

Tuesday

Wednesday

Thursday

Friday

Do you prefer to shop in the morning, afternoon, or either?

Is there any additional feedback you would like to share about shopping with UCATS?

Confirm

Cancel