Skip to content
Phone: 309-298-2637
|
iira@wiu.edu
Search for:
Home
About Us
History, Mission and Vision
Staff Contacts
Outreach Programs
AmeriCorps VISTA
APEX Accelerators
Illinois Small Business Development Center
Institute Intelligence
MAPPING the Future of Your Community
Peace Corps Fellows AmeriCorps Program
Rural Transit Assistance Center
Value-Added Sustainable Development Center
Resources
Rural Resource Guide
Small Business Exit Planning
Conferences & Training
Rural Community Economic Development Conference
Midwest Community Development Institute
Master’s Degree Program
Publications
Search for:
Project ReFED Workshop Survey
admin_iira
2024-12-05T15:13:57-06:00
From Farm to Sale: Local Food Networking Event
Please take a few minutes to complete this survey.
Form Submission is restricted
Form is successfully submitted. Thank you!
Filter
Project ReFED Registration Questions
Step1
Step2
Step2
First Name
Last Name
Phone
Email
Demographic Information
What is your age (in years)?
18 to 24
25 to 44
45 to 64
65+
Prefer not to say
What is your gender
Male
Female
Prefer not to say
Other
Gender - Other - Please specify
Are you Hispanic or Latino?
Yes
No
Prefer not to say
What is your race? You may select more than one.
Black or African American
White
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
Other
Prefer not to say
Race - Other - Please specify
Which of the following best describes your marital status?
Married
Widowed
Divorced
Separated
Never Married
Living with partner
Prefer not to say
What is the highest grade or level of school you have completed or highest degree you received?
< High school graduate
High school graduate/GED
Some college
Associate, technical or vocational degree
Bachelor's degree
Master's degree
Professional or doctoral degree
Prefer not to say
Farm/ Business Information
What is the name of your farm / business?
What is the address of your farm / business?
Does your farm / business have an online presence? (i.e. website or social media)
Yes
No
Please provide the website / primary online presence of your farm / business (if a Facebook page or another social media site functions as your farm / business’ primary online presence, please provide that).
What is the annual revenue (gross cash income) of your farm or business?
Less than $25,000
$25,000-$50,000
$50,000-$100,000
$100,000-$250,000
$250,000 - $500,000
$500,000-$1,000,000
$1,000,000-$5,000,000
Greater than $5,000,000
How much does your farm / business compensate you personally or as a household (wage, salary, profits, etc.) for your time annually? Please exclude farm/business costs for owners (net income).
Less than $1,000
$1,000-$10,000
$10,000-$25,000
$25,000-$75,000
>$75,0000
Approximately, how many acres is your farm?
<1 acre
1-2 acres
3-5 acres
6-25 acres
251-1,000 acres
>1,000 acres
Not applicable
How many jobs (Full Time Equivalents – FTEs or 40 hours per week) does your farm or business provide?
<1
1-2
3-5
5-20
>20
Does your farm have any certifications? Please select all that apply.
Fairtrade
GAP - Good Agricultural Practices
GHP - Good Handling Practices
Humane
Naturally grown
Non-GMO
Organic
Other
None
Certifications - Other - Please specify
Which type of farming system best describes your farm / local food production business?
Biodynamic / Natural
Certified Biodynamic / Natural
Certified Organic
Organic
Conventional
Other
Farming System - Certified Biodynamic/Natural - Please specify
Farming System - Other - Please specify
Please select all fruits that are grown on your farm.
Apples
Blackberries
Blueberries
Cantaloupe
Figs
Grapes, bunch
Grapes, muscadine
Peaches
Pears
Plums
Raspberries
Strawberries
Watermelon
Other
None
Fruits - Other - Please specify type(s) of fruit
Please select all vegetables that are grown on your farm.
Bell peppers (green or colored)
Black eyed peas
Broccoli
Butter beans
Cabbage
Carrots
Cauliflower
Cucumbers
Eggplant
Green beans
Green peas
Greens (collard, mustard, turnip)
Kale
Kohlrabi
Leeks
Mushrooms
Okra
Onions
Purple hull peas
Radishes
Sweet corn
Sweet potatoes
Swiss chard
Tomatoes
White potatoes
Yellow squash
Zucchini
Other
None
Vegetables - Other - Please specify
Do you sell value-added food products? Please select all that apply.
Home canned goods such as jams, jellies, salsa, relishes, etc.
Baked goods such as bread, pies, cakes, cookies, etc.
Other
None
Value Added - Other - Please specify
How do you sell your farm or business products? Please select all that apply.
CSA - Community Supported Agriculture
Commercial vendor
Distributor
Farmers' market
Grocery store
Off farm stand/store
On farm stand/store
Online direct sales
Restaurant
School
Other
Sell Product - Other - Please specify
Are you involved in an agricultural cooperative in any way?
Yes
No
Other
AG Coop - Other - Please specify
Are you involved in or do you use a food hub or other aggregation service in any way?
Yes
No
Other
Food Hub - Other - Please specify
Have you ever sold product to a school or participated in a school food program?
Yes
No
Other
School Program - Other - Please specify
How long has your farm or local food production been in business?
<1 year
1-2 years
3-5 years
>5 years
Submit
Powered by
ARForms
Page load link
Go to Top
