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After you apply, end your session to protect your data. Your session will automatically expire after 10 hours from the beginning of your session, so please log in or submit your application before that time to avoid losing your progress.

Fresh Bucks Wait List 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.