Article 1The structured survey on end recipients referred to in Article 23(3) of Regulation (EU) 2021/1057 shall be carried out in accordance with the template set out in the Annexes.

Article 2This Regulation shall enter into force on the twentieth day following that of its publication in the Official Journal of the European Union.

This Regulation shall be binding in its entirety and directly applicable in all Member States.ANNEX ISTRUCTURED SURVEY TEMPLATE ON ESF+ DIRECT SUPPORT FOR ADDRESSING MATERIAL DEPRIVATIONQUESTIONSInterviewer’s organisation: [name of the entity for which the interviewer is working]Place: [post code from where the survey is carried out]Beneficiary delivering support: [name of the organisation from which the end recipient received assistance][type of organisation][activity of the organisation: health, education, social protection, food, advisory, psychological support, housing support, other]Date: [date of the survey in format dd/mm/yyyy]Time: [time of the survey in format hh:mm]A.Questions to the beneficiary providing food or basic material assistance (goods) to end recipients

A1.What food/goods were distributed to whom? (reply to all)
Food distribution to children under 18 years	(Yes/No)
Food distribution to the homeless	(Yes/No)
Food distribution to women	(Yes/No)
Food distribution to single parents	(Yes/No)
Food distribution to persons 65 years of age and above	(Yes/No)
Food distribution to persons with disabilities	(Yes/No)
Food distribution to third-country nationals, persons with a foreign background or a minority	(Yes/No)
Food distribution to others	(Yes/No)(and if yes, specify target group)
Goods distributed to children under 18 years	(Yes/No)
Goods distributed to the homeless	(Yes/No)
Goods distributed to women	(Yes/No)
Goods distributed to single parents	(Yes/No)
Goods distributed to persons 65 years of age and above	(Yes/No)
Goods distributed to persons with disabilities	(Yes/No)
Goods distributed to third-country nationals, persons with a foreign background or a minority	(Yes/No)
Goods distributed to others	(Yes/No)(and if yes, specify target group)

A2.How often do you distribute assistance (food/goods)?
Daily
Twice a week
Weekly
Twice a month
Monthly
Other (specify)

For the survey due in 2025 present calendar year refers to the calendar year 2024. For the survey due in 2028 present calendar year refers to the calendar year 2027.

A3.Estimate the total number of persons that will have received food/goods co-financed by the ESF+ in the whole present calendar year from your organisation

{number}

A4.If you also provide assistance (food/goods) to end recipients, which is not co-financed by the ESF+, what is distributed and to whom? (reply to all)
Food distribution to children under 18 years	(Yes/No)
Food distribution to the homeless	(Yes/No)
Food distribution to women	(Yes/No)
Food distribution to single parents	(Yes/No)
Food distribution to persons 65 years of age and above	(Yes/No)
Food distribution to persons with disabilities	(Yes/No)
Food distribution to third-country nationals, persons with a foreign background or a minority	(Yes/No)
Food distribution to others	(Yes/No)(and if yes, specify target group)
Goods distributed to children under 18 years	(Yes/No)
Goods distributed to the homeless	(Yes/No)
Goods distributed to women	(Yes/No)
Goods distributed to single parents	(Yes/No)
Goods distributed to persons 65 years of age and above	(Yes/No)
Goods distributed to persons with disabilities	(Yes/No)
Goods distributed to third-country nationals, persons with a foreign background or a minority	(Yes/No)
Goods distributed to others	(Yes/No)(and if yes, specify target group)
Do not know it as it is not traceable	(Yes/No)
Not applicable as we only provide support co-financed by the ESF+	(Yes/No)

A5.How do you distribute food/goods to end recipients? (several answers possible)
End recipients come to the distribution point to collect this assistance
Home delivery
Other	(please specify)
Not applicable as distribution goes to other organisations who redistribute food/goods directly to end recipients

A6.What advice/guidance (called "accompanying measures") is offered to end recipients in addition to food/goods distribution funded by ESF+? (several answers are possible)
Advice on food preparation/storage and nutrition (cooking workshops, recipes)
Health advice
Redirection to competent services (e.g. social services, administrations, etc.)
Individual coaching and workshops
Psychological and therapeutic support
Advice on job search
Advice on managing a household budget
Other support (to be specified)	[Text box to be filled in]
None (not applicable)

See footnote for question A3.

A7.Estimate the number of end recipients that will have benefitted from advice/guidance (accompanying measures) during the whole present calendar year

{number}

A8.What conditions must end-recipients satisfy to receive food/goods and advice co-financed by the ESF+?

[Text box]

A9.In your opinion, are the administrative requirements to manage the ESF+ support addressing material deprivation:
"Very easy to comply with"
"Easy to comply with"
"Neutral" (neither easy nor hard to comply)
"Hard to comply with"
"Very hard to comply with"

A9a.If your answer was "hard" or "very hard to comply with", can you please describe what is not easy to comply with?

[Text box]

A10.What are the main benefits of providing food/goods directly in comparison to vouchers/cards?And what are the main challenges of providing food/goods directly in comparison to vouchers/cards?

[Text box]

A11.Do you have any other comments concerning ESF+ support to the most deprived, the collaboration between Managing Authorities and Beneficiaries or suggested solutions for difficulties/challenges encountered?

[Text box]

B.Questions for the end recipient of food or basic material assistance (goods) provided with ESF+ supportThe interviewer should explain briefly the purpose of the survey before proceeding with the questions (to know more about the respondent’s personal situation and views about the support received). The end recipient of ESF+ direct support should be informed that the survey is anonymous and that the results of this interview will be used solely for the purpose of this survey. The survey should respect the privacy of end recipients.

B1.Which is your gender?
Male	Female	Non-binary	I do not wish to answer/know/understand the question

In case the end recipient is a child, the responses should be obtained from parent(s) or from an authorised representative.

B2.What age are you?
0-17	18-29	30-64	65 or above	I do not wish to answer/know/understand the question

B3.Please tell me whether you live …?
Alone
In a couple without children
Alone with children
In a couple with children
Other, specify:	[Text box to be filled in]
I do not wish to answer/know/understand the question

B4.How did you find out that the ESF+ support you receive was available? (several answers are possible)
Through social services/non-profit organisations
Through advertisement in the press, flyers, brochures, postcards
Through internet/social media (Facebook, Twitter, Youtube)
Through family or friends
Other, specify:	[Text box to be filled in]
I do not wish to answer/know/understand the question

B5.Please tell me which of the following you received in the present calendar year? (several boxes can be selected)
	Yes	I do not wish to answer/know/understand the question
Food
Goods
Advice/guidance

B6.Please tell me whether the food/goods provided was useful to you or to the people living with you?
Yes	Partially	No	I do not wish to answer/know/understand the question

B6a.If "No" or "Partially", could you tell me why?
Insufficient quantity of food/goods
Insufficient frequency of food/goods distribution
Unavailability of the food/goods I was looking for
Poor quality of food/goods
Other type of assistance required (please specify)	[Text box to be filled in]
I do not wish to answer/know/understand the question

B7.If you received food funded by ESF+, please tell me what food products received are most useful? (several boxes can be selected)
Fresh vegetables and fruits
Meat
Fish
Milk
Other dairy products (butter, yogurt, cheese…)
Basic products (flour, oil, sugar, pasta, rice...)
Canned food (vegetables, fruits, meat…) or prepared meals (soups, frozen meals...)
Desserts, cookies, breakfast cereals
Tea or coffee
Baby food (powdered milk, …)
Other food	[Text box to be filled in]
None (not applicable as I did not receive food)

B8.If you received goods funded by ESF+, please tell me which goods are most useful? (several boxes can be selected)
Clothes and equipment for babies
Clothes and equipment for children
Clothes and equipment for adults
Sleeping bags/blankets
Kitchen equipment
Household linen and cleaning products
Hygiene articles
Other goods	[Text box to be filled in]
None (not applicable as I did not receive goods)

B9.Who are the food/goods that you received intended for? (several boxes can be selected)
Myself	Other adults who live with me	Children who live with me	I do not wish to answer/know/understand the question

B10.How often have you been receiving food in the present calendar year?
Every day	Once a week	Once a month	Other frequency	It is the first time I receive assistance	I do not wish to answer/know/understand the question
			[specify frequency]

B11.How often have you been receiving goods in the present calendar year?
Every day	Once a week	Once a month	Other frequency	It is the first time I receive assistance	I do not wish to answer/know/understand the question
			[specify frequency]

B12.Do you know when you will need the same assistance again?
Tomorrow	Next week	Next month	Other (period)	I do not wish to answer/know/understand the question
			[specify period]

B13.If you faced any difficulties in receiving food/goods, please tell me which kind of difficulties were they? (several answers possible)
I had delays due to additional procedures or documents to be provided
I had to travel a long distance
I was ashamed, I don’t like to ask for help
I had difficulties in accessing information
I had technical difficulties (no mobile phone or PC, access to websites…)
I lack knowledge of the language
Other (to be specified)	[Text box to be filled in]
None (not applicable as I did not face any difficulty)
I do not wish to answer/know/understand the question

B14.If a year ago, you could afford to purchase the food/goods you just received, please tell me why this is no longer the case? (several answers possible)
A drop in income (please specify e.g. job loss, partial unemployment)	Increase in my costs(please specify e.g. due to higher cost of living)	Another reason (specify)	Not applicable as I could also not afford it last year	I do not wish to answer/know/understand the question

B15.What kind of advice or guidance do you receive (several answers possible)?
Advice on food preparation/storage and nutrition (cooking workshops, recipes)
Health advice
Redirection to competent services (e.g. social services, administrations, etc.)
Individual coaching and workshops
Psychological and therapeutic support
Advice on job search
Advice on managing a household budget
Other (to be specified)	[Text box to be filled in]
Not applicable as I did not receive any advice or guidance
I do not wish to answer/know/understand the question

B15.a.How useful did you find the advice or guidance received?
Very useful	Somewhat useful	Not very useful	Not useful at all	I do not wish to answer/know/understand the question or not applicable

B15.b.If the advice or guidance was not useful, could you please explain why?

[Text box]

B16.Are you and/or other members of your household receiving assistance (food, goods or advice) from other organisations?
Yes	No	I do not wish to answer/know/understand the question

A group of people, often a family, who live together.To displaced persons from non-EU countries who are unable to return to their country of origin EUR-Lex - 32001L0055 - EN - EUR-Lex (europa.eu)

B17.Please tell me if… (select a response for all sub-questions please)
	Yes	No	I do not wish to answer/know/understand the question
a.you have any income from work?
b.you get any other income or benefits?
c.any members of your household have any income from work?
d.any members of your household get any other income or benefits?
e.you have the nationality of the country in which you are now?
f.you have the nationality of another EU country?
g.you are an asylum seeker or a refugee or beneficiary of temporary protection?
h.you have any disability?

B18.Where do you live now?
I live in a home that I own
I rent an apartment or house
I am hosted by family, friends or other people
I live in a home for the elderly
I live in accommodation for single mothers or single fathers
I live in a university residence or a young workers’ hostel
I live in accommodation for asylum seekers
I live in a caravan or mobile home
I live in the street (squat, slum, tent...)
I live in a refugee camp
Other (to be specified)	[Text box to be filled in]
I do not wish to answer/know/understand the question

B19.Do you have anything else you would like to say about the support you received?

[Text box]

ANNEX IISTRUCTURED SURVEY TEMPLATE ON ESF+ INDIRECT SUPPORT FOR ADDRESSING MATERIAL DEPRIVATIONQUESTIONSInterviewer’s organisation: [name of the entity for which the interviewer is working]Place: [post code from where the survey is carried out]Beneficiary delivering support: [name of the organisation from which the end recipient received assistance][type of organisation][activity of the organisation: health, education, social protection, food, advisory, psychological support, housing support, other]Date: [date of the survey in format dd/mm/yyyy]A.Questions to the beneficiary delivering support indirectly through e.g. vouchers/cards

A1.What type of assistance and population is addressed through the scheme? (reply to all)
Food addressed to children under 18 years	(Yes/No)
Food addressed to the homeless	(Yes/No)
Food distribution to women	(Yes/No)
Food distribution to single parents	(Yes/No)
Food distribution to persons 65 years of age and above	(Yes/No)
Food distribution to persons with disabilities	(Yes/No)
Food distribution to third-country nationals, persons with a foreign background or a minority	(Yes/No)
Food addressed to other target groups	(Yes/No)(and if yes, specify target group)
Goods addressed to children under 18 years	(Yes/No)
Goods addressed to the homeless	(Yes/No)
Goods distributed to women	(Yes/No)
Goods distributed to single parents	(Yes/No)
Goods distributed to persons 65 years of age and above	(Yes/No)
Goods distributed to persons with disabilities	(Yes/No)
Goods distributed to third-country nationals, persons with a foreign background or a minority	(Yes/No)
Goods addressed to others	(Yes/No)(and if yes, specify target group)

A2.What does the voucher or card enable end recipients to buy? (several answers are possible)
Food
Basic material assistance products (such as hygiene products)
Educational or audiovisual material/equipment
Other items sold in supermarkets with some exceptions (alcohol, tobacco, etc.)	(please specify the item)
Other	(please specify)

For the survey due in 2025 present calendar year refers to the calendar year 2024, in which the survey is conducted. For the survey due in 2028 present calendar year refers to the calendar year 2027.

A3.Estimate the total number of persons that will have been assisted through vouchers or cards co-financed by the ESF+ during the whole present calendar year by your organisation

{number}

A4.If you also provide assistance (food/goods) to end recipients, which is not co-financed by the ESF+, what is provided and to whom? (reply to all)
Food distribution to children under 18 years	(Yes/No)
Food distribution to the homeless	(Yes/No)
Food distribution to women	(Yes/No)
Food distribution to single parents	(Yes/No)
Food distribution to persons 65 years of age and above	(Yes/No)
Food distribution to persons with disabilities	(Yes/No)
Food distribution to third-country nationals, persons with a foreign background or a minority	(Yes/No)
Food distribution to others	(Yes/No)(and if yes, specify target group)
Goods distributed to children under 18 years	(Yes/No)
Goods distributed to the homeless	(Yes/No)
Goods distributed to women	(Yes/No)
Goods distributed to single parents	(Yes/No)
Goods distributed to persons 65 years of age and above	(Yes/No)
Goods distributed to persons with disabilities	(Yes/No)
Goods distributed to third-country nationals, persons with a foreign background or a minority	(Yes/No)
Goods distributed to others	(Yes/No)(and if yes, specify target group)
Do not know it as it is not traceable	(Yes/No)
Not applicable as we only provide support co-financed by the ESF+	(Yes/No)

A5.What advice (called "accompanying measures") is offered to voucher/card recipients? (several answers are possible)
Advice on food preparation/storage and nutrition (cooking workshops, recipes)
Health advice
Redirection to competent services (e.g. social services, administrations, etc.)
Individual coaching and workshops
Psychological and therapeutic support
Advice on job search
Advice on managing a household budget
Other support (to be specified)	[Text box to be filled in]
None (not applicable)

See footnote for question A3.

A6.Estimate the number of voucher/card recipients that benefitted from advice/guidance funded by ESF+ (accompanying measures) during the present calendar year

{number}

A7.What conditions must end recipients satisfy to receive vouchers or cards and advice co-financed by the ESF+?

[Text box]

See footnote for question A3.

A8.Estimate how much money in euros will have been made available to an end recipient through ESF+ vouchers/cards for obtaining food/goods in the whole present calendar year

{amount in EUR}

[Text box if a clarification is needed]

A9.In your opinion, are the administrative requirements to manage the voucher/card scheme:
"Very easy to comply with"
"Easy to comply with"
"Neutral" (neither easy nor hard to comply)
"Hard to comply with"
"Very hard to comply with"

A9a.If your answer was "hard" or "very hard to comply with", can you please explain what requirement is not easy to comply with?

[Text box]

A10.What are the main benefits of vouchers/cards in comparison to providing food/goods directly?And what are the main challenges of vouchers/cards in comparison to providing food/goods directly?

[Text box]

A11.Do you have any other comments concerning the scheme for distribution of vouchers/cards to the most deprived, the collaboration between Managing Authorities and Beneficiaries or suggested solutions for difficulties/challenges encountered?

[Text box]

B.Questions for the end recipient of ESF+ supportThe interviewer should explain briefly the purpose of the survey before proceeding with the questions (to know more about the respondent’s personal situation and views about the support received). The end recipient of ESF+ indirect support should be informed that the survey is anonymous and that the results of this interview will be used solely for the purpose of this survey. The survey should respect the privacy of end recipients.

B1.Which is your gender?
Male	Female	Non-binary	I do not wish to answer/know/understand the question

In case the end recipient is a child, the responses should be obtained from parent(s) or from an authorised representative.

B2.What age are you?
0-17	18-29	30-64	65 or above	I do not wish to answer/know/understand the question

B3.Please tell me whether you live …?
Alone
In a couple without children
Alone with children
In a couple with children
Other, specify:	[Text box to be filled in]
I do not wish to answer/know/understand the question

B4.How did you find out that the ESF+ support you receive was available? (several answers are possible)
Through social services/non-profit organisations
Through advertisement in the press, flyers, brochures, postcards
Through internet/social media (Facebook, Twitter, Youtube)
Through family or friends
Other, specify:	[Text box to be filled in]
I do not wish to answer/know/understand the question

B5.Please tell me which of the following you received through vouchers/cards in the present calendar year? (several boxes can be selected)
	Yes	I do not wish to answer/know/understand the question
Food
Goods
Advice/guidance

B6.Please tell me whether the assistance received through vouchers or cards was useful to you or to the people living with you?
Yes	Partially	No	I do not wish to answer/know/understand the question

B6a.If the above answer was "No" or "Partially", could you tell me why?

[Text box]

B7.If you received food through vouchers/cards funded by ESF+, please tell me what food products are most useful? (several boxes can be selected)
Fresh vegetables and fruits
Meat
Fish
Milk
Other dairy products (butter, yogurt, cheese…)
Basic products (flour, oil, sugar, pasta, rice...)
Canned food (vegetables, fruits, meat…) or prepared meals (soups, frozen meals...)
Desserts, cookies, breakfast cereals
Tea or coffee
Baby food (powdered milk, …)
Other food	[Text box to be filled in]
None (not applicable as I did not receive food)

B8.If you received goods through vouchers/cards funded by ESF+, please tell me which goods are most useful? (several boxes can be selected)
Clothes and equipment for babies
Clothes and equipment for children
Clothes and equipment for adults
Sleeping bags/blankets
Kitchen equipment
Household linen and cleaning products
Hygiene articles
Other goods	[Text box to be filled in]
None (not applicable as I did not receive goods)

B9.Who are the food/goods that you received through vouchers/cards intended for?
Myself	Other adults who live with me	Children who live with me	I do not wish to answer/know/understand the question

B10.If you faced any difficulties in receiving vouchers/cards, please tell me which kind of difficulties were they? (several answers possible)
I had delays due to additional procedures or documents to be provided
I had to travel a long distance
I was ashamed, I don’t like to ask for help
I had difficulties in accessing information
I had technical difficulties (no mobile phone or PC, access to websites …)
Lack knowledge of the language
Other (to be specified)	[Text box to be filled in]
None (not applicable as I did not face any difficulty)
I do not wish to answer/know/understand the question

B11.If a year ago you could afford to purchase the food/goods you just received through vouchers/cards, please tell me why this is no longer the case? (several answers possible)
A drop in income (please specify e.g. job loss, partial unemployment)	Increase in my costs (please specify e.g. due to higher cost of living)	Another reason (specify)	Not applicable as I could also not afford it last year	I do not wish to answer/know/understand the question

B12.What kind of advice or guidance did you receive? (several answers possible)
Advice on food preparation/storage and nutrition (cooking workshops, recipes)
Health advice
Redirection to competent services (e.g. social services, administrations, etc.)
Individual coaching and workshops
Psychological and therapeutic support
Advice on job search
Advice on managing a household budget
Other (to be specified)	[Text box to be filled in]
Not applicable as I did not receive any advice or guidance
I do not wish to answer/know/understand the question

B12.a.How useful did you find the advice or guidance received?
Very useful	Somewhat useful	Not very useful	Not useful at all	I do not wish to answer/know/understand the question or not applicable

B12.b.If the advice or guidance was not useful, could you please explain why?

[Text box]

B13.Are you and/or other members of your household receiving assistance (food, goods or advice) from other organisations?
Yes	No	I do not wish to answer/know/understand the question

A group of people, often a family, who live together.To displaced persons from non-EU countries who are unable to return to their country of origin EUR-Lex - 32001L0055 - EN - EUR-Lex (europa.eu)

B14.Please tell me if… (select a response for all sub-questions please)
	Yes	No	I do not wish to answer/know/understand the question
a.you have any income from work?
b.you get any other income or benefits?
c.any members of your household have any income from work?
d.any members of your household get any other income or benefits?
e.you have the nationality of the country in which you are now?
f.you have the nationality of another EU country?
g.you are an asylum seeker or a refugee or beneficiary of temporary protection?
h.you have any disability?

B15.Where do you live now?
I live in a home that I own
I rent an apartment or house
I am hosted by family, friends or other people
I live in a home for elderly
I live in accommodation for single mothers or single fathers
I live in a university residence or a young workers’ hostel
I live in accommodation for asylum seekers
I live in a caravan or mobile home
I live in the street (squat, slum, tent...)
I live in a refugee camp
Other (to be specified)	[Text box to be filled in]
I do not wish to answer/know/understand the question

B16.Do you have anything else you would like to say about the support you received?

[Text box]

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