This is an official government website.

Here's how you know

Here's how you know

Official websites use .gov
Website addresses ending in .gov belong to official government organizations in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Only share sensitive information on official, secure websites.

Seattle CiviForm

You're a guest user. End session

Log in | Create account

Fresh Bucks Waitlist Application10 of 12

Note: Fields marked with a * are required.

Within the past 12 months, I/we worried that food at home would run out before I/we got money to buy more.

Often true

Sometimes true

Never true

Don't know/Prefer not to answer

Within the past 12 months, the food I/we bought ran out, and I/we didn’t have money to get more.

Often true

Sometimes true

Never true

Don't know/Prefer not to answer

Within the past 12 months, I/we found it hard to buy healthy foods like fresh fruits and vegetables.

Often true

Sometimes true

Never true

Don't know/Prefer not to answer

For technical support, contact CiviForm@seattle.gov