TXPAN: Healthy Food Pantry Project

Food Pantry Name(Required)

Food Pantry Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Contact Name(Required)

First Last

Phone(Required)

What items would support your facility?

Please list a few items for each price point that would benefit your facility the most in order to enhance the implementation of the Healthy Choice Pantry Project (include the website links to the items as well)

Price Point A: $0 – $500

Price Point B: $500 – $1000

Price Point C: $1000 – $2000

How would the items listed above support your facility?

Please briefly describe how items from each price point would help/support your facility.

Price Point A

Price Point B

Price Point C

Is your facility interested in having a guest speaker from the WFWCPHD provide a nutrition presentation for the community at your facility?

Yes, sounds great!

Not at this time.

The Live Well Wichita County website is user-friendly and is designed so users can quickly access resources from multiple Wichita County agencies. Resources include adult, youth, and senior general health services, support groups, local events, as well as food, clothing, shelter, and transportation assistance. Any suggestions on how we can make LiveWellWichitaCounty.com more beneficial for you?

Would your facility be willing to hand out information to promote the Live Well Wichita County website/Facebook? (cards, flyers, etc)

Yes, sounds great!

Not at this time