Ride United Last Mile Delivery Program Survey

Thank you for taking the time out to complete this short survey about our Ride United Last Mile Delivery Program (RULMD)! It should only take a couple of minutes. We are using this information to expand and extend our program in partnership with Doordash.

RULMD is a home delivery program that brings food and essential supplies to vulnerable populations, to help address hunger and other complex community challenges. This partnership leverages DoorDash logistics to power deliveries from local food banks, food pantries, and other distribution points to senior citizens, low-income families, pet owners, and those who can't leave home, providing food and essential items to those in need.

The program has also recently expanded to include deliveries of pet food to pet owners through the Pets Eating Too (PET) Program. The PET Program ensures that pet owners can keep their pets healthy and fed during financially tough times.

In exchange for your time, please bring or submit a completed survey to the United Way of Lowndes & Noxubee to receive a

FREE PET RELATED GIFT!

First

Middle

Last

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Demographics

Gender:

Age:

	Ethnicity: (check all that apply)
Caucasian	Caucasian
African-American	African-American
Latino or Hispanic	Latino or Hispanic
Asian	Asian
Native American	Native American
Native Hawaiian or Pacific Islander	Native Hawaiian or Pacific Islander
Unknown/Other	Unknown/Other
Prefer not to say	Prefer not to say

Are you a Veteran?

Highest level of education completed:

Marital Status:

Are you disabled?

Employment Status:

Household Income:

How many people live in the household?

Are you a customer of one of the following? (please select one)

Program Questions

How many pets do you own/feed?

Number of deliveries you received for your pet(s) from United Way:

Amount of money you normally spend on pet(s) per week:

Amount of money saved with this program:

Amount of meals you received (not including food for your pet):

How did you like this program? Do you have any recommendations to make the program better?