Commission Implementing Regulation (EU) 2023/2071 of 27 September 2023 establishing a template for the structured survey on end recipients of food and/or basic material assistance under the European Social Fund Plus (ESF+) pursuant to Regulation (EU) 2021/1057 of the European Parliament and of the Council
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 | |
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 |
Daily | |
Twice a week | |
Weekly | |
Twice a month | |
Monthly | |
Other (specify) |
{number} |
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 | |
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 | |
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) |
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 |
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) |
{number} |
[Text box] |
"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" |
[Text box] |
[Text box] |
[Text box] |
Male | Female | Non-binary | I do not wish to answer/know/understand the question |
0-17 | 18-29 | 30-64 | 65 or above | I do not wish to answer/know/understand the question |
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 |
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 |
Yes | I do not wish to answer/know/understand the question | |
Food | ||
Goods | ||
Advice/guidance |
Yes | Partially | No | I do not wish to answer/know/understand the question |
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 |
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) |
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) |
Myself | Other adults who live with me | Children who live with me | I do not wish to answer/know/understand the question |
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] |
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] |
Tomorrow | Next week | Next month | Other (period) | I do not wish to answer/know/understand the question |
[specify period] |
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 |
A drop in income (please specify e.g. job loss, partial unemployment) | Another reason (specify) | Not applicable as I could also not afford it last year | I do not wish to answer/know/understand the question | |
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 |
Very useful | Somewhat useful | Not very useful | Not useful at all | I do not wish to answer/know/understand the question or not applicable |
[Text box] |
Yes | No | I do not wish to answer/know/understand the question |
Yes | No | I do not wish to answer/know/understand the question | |
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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 |
[Text box] |
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 | |
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 |
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) |
{number} |
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 | |
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 | |
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) |
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) |
{number} |
[Text box] |
{amount in EUR} |
[Text box if a clarification is needed] |
"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" |
[Text box] |
[Text box] |
[Text box] |
Male | Female | Non-binary | I do not wish to answer/know/understand the question |
0-17 | 18-29 | 30-64 | 65 or above | I do not wish to answer/know/understand the question |
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 |
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 |
Yes | I do not wish to answer/know/understand the question | |
Food | ||
Goods | ||
Advice/guidance |
Yes | Partially | No | I do not wish to answer/know/understand the question |
[Text box] |
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) |
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) |
Myself | Other adults who live with me | Children who live with me | I do not wish to answer/know/understand the |
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 |
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 |
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 |
Very useful | Somewhat useful | Not very useful | Not useful at all | I do not wish to answer/know/understand the question or not applicable |
[Text box] |
Yes | No | I do not wish to answer/know/understand the question |
Yes | No | I do not wish to answer/know/understand the question | |
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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 |
[Text box] |