Keelboat Farms
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class calendar
2015 CSA Member Survey
Tell us about your household:
*
Indicates required field
Your Name
*
Number of Adults
*
1
2
3
4+
Number of Children
*
0
1
2
3
4
5+
Have you ever been in a CSA before?
*
No
Yes
Best Delivery Times (select all that would work)
*
Weekday mornings
Weekday afternoons
Weekday evenings
Saturday mornings
Saturday afternoons
Saturday evenings
How did you learn about our farm / CSA?
*
How often does your family eat the following vegetables:
Beets
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Broccoli
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Cabbage
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Carrots
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Cauliflower
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Corn
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Cucumbers
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Eggplant
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Fresh Herbs
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Green Beans
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Greens (Collard, Mustard, etc)
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Kale
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Lettuce / Salad Mix
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Onions
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Peas (Snap / Snow)
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Peppers (Sweet / Bell)
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Peppers (chile / hot)
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Potatoes
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Roots (Radish, Turnip, etc.)
*
Never
Once per month
1-2 times per week
3-4 times times per week
5+ times per week
Spinach
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Squash (acorn, butternut, etc)
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Swiss Chard
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Tomatoes
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
Zucchini / Summer Squash
*
Never
Once per month
1-2 times per week
3-4 times per week
5+ times per week
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)
*
Receiving fresh eggs
Participating in an on-farm workday
Taking one of our educational classes
Canning / preserving surplus harvest
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