Community & Non-profit
Food Assistance Intake form template
Households share their size, situation, and dietary needs; a need score routes them to emergency, ongoing, or referral tracks. Delivery and dietary questions appear only when a household reports the relevant barrier.
IntakeFood SecurityScored
What’s in the box
Need scoring
Household size and situation drive a need-priority score.
Barrier-based questions
Delivery and dietary questions appear only when they apply.
Right-fit programs
Emergency box, ongoing pantry, or partner referral.
Perfect for
- Food banks
- Pantries
- Mutual aid
- Social services
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