Double up Food Bucks New York

SHOPPERS

Earn Free Produce with EBT

Let's Go!

PARTNERS

Help Increase Food Access in Your Community

Let's Go!

FIND A LOCATION

Where can I use Double Up Food Bucks

Let's Go!

Facebook Youtube Instagram

Talk to Us

Thank you for answering a few questions about Double Up. We use the information you provide to help improve Double Up Food Bucks for everyone.

"*" indicates required fields

What suggestions for improvement or questions do you have about Double Up Food Bucks?

How did you hear about Double Up?*

Mail to my home

Friend or family

Community organization

Healthcare provider

E-mail

Social media

Advertisement (such as a billboard or bus)

MDHHS office

In the news

At a participating location (on a flyer or poster)

Please check all that apply.

Please enter your zip code.*

This field is required.

Do you have SNAP/food stamps?*

Yes

No, but I think I qualify

No, I don't qualify

Please check one.

How long have you been a Double Up shopper?*

1-6 months

7-12 months

1-2 years

2-5 years

More than 5 years

I'm not currently a Double Up shopper

Please check one.

What is the best way for Double Up to share information in your community?*

Text message

E-mail

Social media

Double Up Food Bucks website

Hotline

Other

Please check all that apply.

What information might be useful on the website that isn’t currently available?

Are you planning to expand your family in the next year?*

Yes

How many children are you caring for in your home under the age of 3?*

2-4

4 or more

Would you be willing to share your story using Double Up Food Bucks with others?

Yes

Would you be willing to talk to us directly about how we can better serve you and other shoppers?

Yes

Please provide a phone number or email address for Double Up to share program info with you from time to time.

Email*

This field is required.

Phone*

This field is required.

Name

This field is for validation purposes and should be left unchanged.