Commission Implementing Regulation (EU) 2016/594 of 18 April 2016 establishing a template for the structured survey on end recipients of food and/or basic material assistance operational programmes of the Fund for European Aid to the Most Deprived pursuant to Regulation (EU) No 223/2014 of the European Parliament and of the Council
Daily | Weekly | Monthly | Other | |
---|---|---|---|---|
Food packages | (specify) | |||
Meals | (specify) | |||
Goods distributed to children | (specify) | |||
Goods distributed to the homeless | (specify) | |||
Other (to be specified) | [specify type] | [specify type] | [specify type] | [specify type and period] |
Advice on food preparation and storage, cooking workshops, educational activities to promote healthy nutrition, or advice on how to reduce food waste | |
Personal cleanliness advice | |
Redirection to competent services (e.g. social/administrative) | |
Individual coaching and workshops | |
Psychological and therapeutic support | |
Advice on managing a household budget | |
Other (to be specified) | [Text box to be filled in] |
None |
Yes | No |
---|---|
Food packages | |
Meals | |
Goods distributed to children | |
Goods distributed to the homeless | |
Other goods | [specify type] |
Male | Female |
---|---|
15 or less | 16-24 | 25-49 | 50-64 | 65 or above | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|---|---|---|
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Yes | No | Does not wish to answer | Does not know or does not understand the question | |
---|---|---|---|---|
Food packages | ||||
Meals | ||||
Layette (baby essentials) | ||||
School bags | ||||
Stationery, exercise books, pens, painting equipment and other equipment required in school (non-clothes) | ||||
Sports equipment (sport shoes, leotard, swimsuit, etc.) | ||||
Clothes (winter coat, footwear, school uniform, etc.) | ||||
Sleeping bags/blankets | ||||
Kitchen equipment (pots, pans, cutlery, etc.) | ||||
Household linen (towels, bedclothes) | ||||
Hygiene articles (first aid kit, soap, toothbrush, disposable razor, etc.) | ||||
Other categories of goods | [Text box to be filled in] |
Yourself | Other people in your household | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Male | Female | |
---|---|---|
5 or less | ||
6-15 | ||
16-24 | ||
25-49 | ||
50-64 | ||
65 or above | ||
Does not wish to answer | ||
Does not know or does not understand the question |
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Daily | Weekly | Monthly | Other | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|---|---|
Tomorrow | Within next week | Within next month | Other | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|---|---|
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Need to get some papers from some national, regional or local office | |
Need to travel a long distance | |
Psychological hurdles | |
Other (to be specified) | [Text box to be filled in] |
Does not wish to answer | |
Does not know or does not understand the question |
Yes | Partially | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|---|
Insufficient quantity of food/goods | |
Insufficient frequency of food/goods distribution | |
Insufficient quality of food/goods | |
Other type of assistance required (to be specified) | [Text box to be filled in] |
Does not wish to answer | |
Does not know or does not understand the question |
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Yes | Does not wish to answer | Does not know or does not understand the question | |
---|---|---|---|
Food packages | |||
Meals | |||
Layette (baby essentials) | |||
School bags | |||
Stationery, exercise books, pens, painting equipment and other equipment required in school (non-clothes); | |||
Sports equipment (sport shoes, leotard, swimsuit, etc.) | |||
Clothes (winter coat, footwear, school uniform, etc.) | |||
Sleeping bags/blankets | |||
Kitchen equipment (pots, pans, cutlery, etc.) | |||
Household linen (towels, bedclothes) | |||
Hygiene articles (first aid kit, soap, toothbrush, disposable razor, etc.) | |||
Other | [Text box to be filled in] |
Advice on food preparation and storage, cooking workshops, educational activities to promote healthy nutrition, or advice on how to reduce food waste | |
Personal cleanliness advice | |
Redirection to competent services (e.g. social/administrative) | |
Individual coaching and workshops | |
Psychological and therapeutic support | |
Advice on managing a household budget | |
Other (to be specified) | [Text box to be filled in] |
Does not wish to answer | |
Does not know or does not understand the question |
Very useful | Somewhat useful | Not very useful | Not useful at all | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|---|---|
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Yes | No | Does not wish to answer | Does not know or does not understand the question |
---|---|---|---|
Owned or rented dwelling or house, either alone or with the family | |
Shared dwelling with friends and other people | |
Institutional long-term home (home for elderly, single mothers, asylum seekers) | |
Sheltered housing | |
Ruined house or slum | |
Mobile home/caravan | |
Refugee camp | |
Other (to be specified) | [Text box to be filled in] |
Does not wish to answer | |
Does not know or does not understand the question |