2016 CSA Member Survey

Tell us about your household:

* Indicates required field

Your Name *

Number of Adults *

Number of Children *

How did you learn about our farm / CSA? *

Have you ever been in a CSA before? *

No Yes

How often does your family eat the following vegetables:

Beets *

Broccoli *

Cabbage *

Carrots *

Cauliflower *

Corn *

Cucumbers *

Eggplant *

Fresh Herbs *

Green Beans *

Greens (Collard, Mustard, etc) *

Kale *

Lettuce / Salad Mix *

Onions *

Peas (Snap / Snow) *

Peppers (Sweet / Bell) *

Peppers (chile / hot) *

Potatoes *

Roots (Radish, Turnip, etc.) *

Spinach *

Squash (acorn, butternut, etc) *

Swiss Chard *

Tomatoes *

Zucchini / Summer Squash *

Please list any other vegetables that you enjoy. We will try to grow them if we have space. *

Which of the following would you be interested in? (Check all that apply) *

Participating in an on-farm volunteer workday Taking one of our educational classes Learning to grow your own garden Reducing the cost of your CSA membership by participating in a workshare

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