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Fresh Bucks Waitlist Application

Fresh Bucks helps Seattle residents afford fruits and vegetables.

10 of 14 Health Questionnaire

The next set of questions are about your health and the food you eat. We ask these questions to understand the impact of Fresh Bucks in the community. Your responses help us build a better program. Your answers will not impact whether you qualify for Fresh Bucks.

In general, how would you rate your health?

Some answers on this page need to be fixed

This page of your application either has some errors or some fields were left blank. If you continue to the previous page, none of the information entered on this page will be saved until the errors are corrected.