COMMISSION IMPLEMENTING REGULATION (EU) 2023/2071
of 27 September 2023
establishing a template for the structured survey on end recipients of food and/or basic material assistance under the European Social Fund Plus (ESF+) pursuant to Regulation (EU) 2021/1057 of the European Parliament and of the Council
Article 1
Article 2
ANNEX I
STRUCTURED SURVEY TEMPLATE ON ESF+ DIRECT SUPPORT FOR ADDRESSING MATERIAL DEPRIVATION
QUESTIONS
A.
Questions to the beneficiary providing food or basic material assistance (goods) to end recipients
                     
  | 
               |||
| 
                      Food distribution to children under 18 years  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to the homeless  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to women  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to single parents  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to persons 65 years of age and above  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to persons with disabilities  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to third-country nationals, persons with a foreign background or a minority  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to others  | 
                  
                      (Yes/No) (and if yes, specify target group)  | 
               ||
| 
                      Goods distributed to children under 18 years  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to the homeless  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to women  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to single parents  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to persons 65 years of age and above  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to persons with disabilities  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to third-country nationals, persons with a foreign background or a minority  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to others  | 
                  
                      (Yes/No) (and if yes, specify target group)  | 
               ||
                     
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| 
                      Daily  | 
                  
                      
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| 
                      Twice a week  | 
                  
                      
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| 
                      Weekly  | 
                  
                      
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| 
                      Twice a month  | 
                  
                      
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| 
                      Monthly  | 
                  
                      
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               ||
| 
                      Other (specify)  | 
                  
                      
  | 
               ||
                     
  | 
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| 
                      {number}  | 
               
                     
  | 
               |||
| 
                      Food distribution to children under 18 years  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to the homeless  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to women  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to single parents  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to persons 65 years of age and above  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to persons with disabilities  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to third-country nationals, persons with a foreign background or a minority  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to others  | 
                  
                      (Yes/No) (and if yes, specify target group)  | 
               ||
| 
                      Goods distributed to children under 18 years  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to the homeless  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to women  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to single parents  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to persons 65 years of age and above  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to persons with disabilities  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to third-country nationals, persons with a foreign background or a minority  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to others  | 
                  
                      (Yes/No) (and if yes, specify target group)  | 
               ||
| 
                      Do not know it as it is not traceable  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Not applicable as we only provide support co-financed by the ESF+  | 
                  
                      (Yes/No)  | 
               ||
                     
  | 
               |||
| 
                      End recipients come to the distribution point to collect this assistance  | 
                  
                      
  | 
               ||
| 
                      Home delivery  | 
                  
                      
  | 
               ||
| 
                      Other  | 
                  
                      (please specify)  | 
               ||
| 
                      Not applicable as distribution goes to other organisations who redistribute food/goods directly to end recipients  | 
                  
                      
  | 
               ||
                     
  | 
               |||
| 
                      Advice on food preparation/storage and nutrition (cooking workshops, recipes)  | 
                  
                      
  | 
               ||
| 
                      Health advice  | 
                  
                      
  | 
               ||
| 
                      Redirection to competent services (e.g. social services, administrations, etc.)  | 
                  
                      
  | 
               ||
| 
                      Individual coaching and workshops  | 
                  
                      
  | 
               ||
| 
                      Psychological and therapeutic support  | 
                  
                      
  | 
               ||
| 
                      Advice on job search  | 
                  
                      
  | 
               ||
| 
                      Advice on managing a household budget  | 
                  
                      
  | 
               ||
| 
                      Other support (to be specified)  | 
                  
                      [Text box to be filled in]  | 
               ||
| 
                      None (not applicable)  | 
                  
                      
  | 
               ||
                     
  | 
               ||
| 
                      {number}  | 
               
                     
  | 
               ||
| 
                      [Text box]  | 
               
                     
  | 
               |||
| 
                      ‘Very easy to comply with’  | 
                  
                      
  | 
               ||
| 
                      ‘Easy to comply with’  | 
                  
                      
  | 
               ||
| 
                      ‘Neutral’ (neither easy nor hard to comply)  | 
                  
                      
  | 
               ||
| 
                      ‘Hard to comply with’  | 
                  
                      
  | 
               ||
| 
                      ‘Very hard to comply with’  | 
                  
                      
  | 
               ||
                     
  | 
               ||
| 
                      [Text box]  | 
               
                     
  | 
               ||
| 
                      [Text box]  | 
               
                     
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               ||
| 
                      [Text box]  | 
               
B.
Questions for the end recipient of food or basic material assistance (goods) provided with ESF+ support
                     
  | 
               |||||
| 
                      Male  | 
                  
                      Female  | 
                  
                      Non-binary  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
| 
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      
  | 
               ||
                     
  | 
               ||||||
| 
                      0-17(3)  | 
                  
                      18-29  | 
                  
                      30-64  | 
                  
                      65 or above  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
| 
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      
  | 
               ||
                     
  | 
               |||
| 
                      Alone  | 
                  
                      
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               ||
| 
                      In a couple without children  | 
                  
                      
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               ||
| 
                      Alone with children  | 
                  
                      
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               ||
| 
                      In a couple with children  | 
                  
                      
  | 
               ||
| 
                      Other, specify:  | 
                  
                      [Text box to be filled in]  | 
               ||
| 
                      I do not wish to answer/know/understand the question  | 
                  
                      
  | 
               ||
                     
  | 
               |||
| 
                      Through social services/non-profit organisations  | 
                  
                      
  | 
               ||
| 
                      Through advertisement in the press, flyers, brochures, postcards  | 
                  
                      
  | 
               ||
| 
                      Through internet/social media (Facebook, Twitter, Youtube)  | 
                  
                      
  | 
               ||
| 
                      Through family or friends  | 
                  
                      
  | 
               ||
| 
                      Other, specify:  | 
                  
                      [Text box to be filled in]  | 
               ||
| 
                      I do not wish to answer/know/understand the question  | 
                  
                      
  | 
               ||
                     
  | 
               ||||
| 
                      
  | 
                  
                      Yes  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
| 
                      Food  | 
                  
                      
  | 
                  
                      
  | 
               ||
| 
                      Goods  | 
                  
                      
  | 
                  
                      
  | 
               ||
| 
                      Advice/guidance  | 
                  
                      
  | 
                  
                      
  | 
               ||
                     
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               |||||
| 
                      Yes  | 
                  
                      Partially  | 
                  
                      No  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
| 
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      
  | 
               ||
                     
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               |||
| 
                      Insufficient quantity of food/goods  | 
                  
                      
  | 
               ||
| 
                      Insufficient frequency of food/goods distribution  | 
                  
                      
  | 
               ||
| 
                      Unavailability of the food/goods I was looking for  | 
                  
                      
  | 
               ||
| 
                      Poor quality of food/goods  | 
                  
                      
  | 
               ||
| 
                      Other type of assistance required (please specify)  | 
                  
                      [Text box to be filled in]  | 
               ||
| 
                      I do not wish to answer/know/understand the question  | 
                  
                      
  | 
               ||
                     
  | 
               |||
| 
                      Fresh vegetables and fruits  | 
                  
                      
  | 
               ||
| 
                      Meat  | 
                  
                      
  | 
               ||
| 
                      Fish  | 
                  
                      
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               ||
| 
                      Milk  | 
                  
                      
  | 
               ||
| 
                      Other dairy products (butter, yogurt, cheese…)  | 
                  
                      
  | 
               ||
| 
                      Basic products (flour, oil, sugar, pasta, rice...)  | 
                  
                      
  | 
               ||
| 
                      Canned food (vegetables, fruits, meat…) or prepared meals (soups, frozen meals...)  | 
                  
                      
  | 
               ||
| 
                      Desserts, cookies, breakfast cereals  | 
                  
                      
  | 
               ||
| 
                      Tea or coffee  | 
                  
                      
  | 
               ||
| 
                      Baby food (powdered milk, …)  | 
                  
                      
  | 
               ||
| 
                      Other food  | 
                  
                      [Text box to be filled in]  | 
               ||
| 
                      None (not applicable as I did not receive food)  | 
                  
                      
  | 
               ||
                     
  | 
               |||
| 
                      Clothes and equipment for babies  | 
                  
                      
  | 
               ||
| 
                      Clothes and equipment for children  | 
                  
                      
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               ||
| 
                      Clothes and equipment for adults  | 
                  
                      
  | 
               ||
| 
                      Sleeping bags/blankets  | 
                  
                      
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               ||
| 
                      Kitchen equipment  | 
                  
                      
  | 
               ||
| 
                      Household linen and cleaning products  | 
                  
                      
  | 
               ||
| 
                      Hygiene articles  | 
                  
                      
  | 
               ||
| 
                      Other goods  | 
                  
                      [Text box to be filled in]  | 
               ||
| 
                      None (not applicable as I did not receive goods)  | 
                  
                      
  | 
               ||
                     
  | 
               |||||
| 
                      Myself  | 
                  
                      Other adults who live with me  | 
                  
                      Children who live with me  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
| 
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      
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               ||
                     
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               |||||||
| 
                      Every day  | 
                  
                      Once a week  | 
                  
                      Once a month  | 
                  
                      Other frequency  | 
                  
                      It is the first time I receive assistance  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
| 
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      [specify frequency]  | 
                  
                      
  | 
                  
                      
  | 
               ||
                     
  | 
               |||||||
| 
                      Every day  | 
                  
                      Once a week  | 
                  
                      Once a month  | 
                  
                      Other frequency  | 
                  
                      It is the first time I receive assistance  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
| 
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      [specify frequency]  | 
                  
                      
  | 
                  
                      
  | 
               ||
                     
  | 
               ||||||
| 
                      Tomorrow  | 
                  
                      Next week  | 
                  
                      Next month  | 
                  
                      Other (period)  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
| 
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      [specify period]  | 
                  
                      
  | 
               ||
                     
  | 
               |||
| 
                      I had delays due to additional procedures or documents to be provided  | 
                  
                      
  | 
               ||
| 
                      I had to travel a long distance  | 
                  
                      
  | 
               ||
| 
                      I was ashamed, I don’t like to ask for help  | 
                  
                      
  | 
               ||
| 
                      I had difficulties in accessing information  | 
                  
                      
  | 
               ||
| 
                      I had technical difficulties (no mobile phone or PC, access to websites…)  | 
                  
                      
  | 
               ||
| 
                      I lack knowledge of the language  | 
                  
                      
  | 
               ||
| 
                      Other (to be specified)  | 
                  
                      [Text box to be filled in]  | 
               ||
| 
                      None (not applicable as I did not face any difficulty)  | 
                  
                      
  | 
               ||
| 
                      I do not wish to answer/know/understand the question  | 
                  
                      
  | 
               ||
                     
  | 
               ||||||
| 
                      A drop in income (please specify e.g. job loss, partial unemployment)  | 
                  
                      Increase in my costs (please specify e.g. due to higher cost of living)  | 
                  
                      Another reason (specify)  | 
                  
                      Not applicable as I could also not afford it last year  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
| 
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      
  | 
               ||
                     
  | 
               |||
| 
                      Advice on food preparation/storage and nutrition (cooking workshops, recipes)  | 
                  
                      
  | 
               ||
| 
                      Health advice  | 
                  
                      
  | 
               ||
| 
                      Redirection to competent services (e.g. social services, administrations, etc.)  | 
                  
                      
  | 
               ||
| 
                      Individual coaching and workshops  | 
                  
                      
  | 
               ||
| 
                      Psychological and therapeutic support  | 
                  
                      
  | 
               ||
| 
                      Advice on job search  | 
                  
                      
  | 
               ||
| 
                      Advice on managing a household budget  | 
                  
                      
  | 
               ||
| 
                      Other (to be specified)  | 
                  
                      [Text box to be filled in]  | 
               ||
| 
                      Not applicable as I did not receive any advice or guidance  | 
                  
                      
  | 
               ||
| 
                      I do not wish to answer/know/understand the question  | 
                  
                      
  | 
               ||
                     
  | 
               ||||||
| 
                      Very useful  | 
                  
                      Somewhat useful  | 
                  
                      Not very useful  | 
                  
                      Not useful at all  | 
                  
                      I do not wish to answer/know/understand the question or not applicable  | 
               ||
| 
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      
  | 
               ||
                     
  | 
               ||
| 
                      [Text box]  | 
               
                     
  | 
               ||||
| 
                      Yes  | 
                  
                      No  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
| 
                      
  | 
                  
                      
  | 
                  
                      
  | 
               ||
                     
  | 
               |||||
| 
                      
  | 
                  
                      Yes  | 
                  
                      No  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
                     
  | 
                  
                      
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               ||
                     
  | 
                  
                      
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| 
                      I live in a home that I own  | 
                  
                      
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               ||
| 
                      I rent an apartment or house  | 
                  
                      
  | 
               ||
| 
                      I am hosted by family, friends or other people  | 
                  
                      
  | 
               ||
| 
                      I live in a home for the elderly  | 
                  
                      
  | 
               ||
| 
                      I live in accommodation for single mothers or single fathers  | 
                  
                      
  | 
               ||
| 
                      I live in a university residence or a young workers’ hostel  | 
                  
                      
  | 
               ||
| 
                      I live in accommodation for asylum seekers  | 
                  
                      
  | 
               ||
| 
                      I live in a caravan or mobile home  | 
                  
                      
  | 
               ||
| 
                      I live in the street (squat, slum, tent...)  | 
                  
                      
  | 
               ||
| 
                      I live in a refugee camp  | 
                  
                      
  | 
               ||
| 
                      Other (to be specified)  | 
                  
                      [Text box to be filled in]  | 
               ||
| 
                      I do not wish to answer/know/understand the question  | 
                  
                      
  | 
               ||
                     
  | 
               ||
| 
                      [Text box]  | 
               
ANNEX II
QUESTIONS
A.
Questions to the beneficiary delivering support indirectly through e.g. vouchers/cards
                     
  | 
               |||
| 
                      Food addressed to children under 18 years  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food addressed to the homeless  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to women  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to single parents  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to persons 65 years of age and above  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to persons with disabilities  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to third-country nationals, persons with a foreign background or a minority  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food addressed to other target groups  | 
                  
                      (Yes/No) (and if yes, specify target group)  | 
               ||
| 
                      Goods addressed to children under 18 years  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods addressed to the homeless  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to women  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to single parents  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to persons 65 years of age and above  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to persons with disabilities  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to third-country nationals, persons with a foreign background or a minority  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods addressed to others  | 
                  
                      (Yes/No) (and if yes, specify target group)  | 
               ||
                     
  | 
               |||
| 
                      Food  | 
                  
                      
  | 
               ||
| 
                      Basic material assistance products (such as hygiene products)  | 
                  
                      
  | 
               ||
| 
                      Educational or audiovisual material/equipment  | 
                  
                      
  | 
               ||
| 
                      Other items sold in supermarkets with some exceptions (alcohol, tobacco, etc.)  | 
                  
                      (please specify the item)  | 
               ||
| 
                      Other  | 
                  
                      (please specify)  | 
               ||
                     
  | 
               ||
| 
                      {number}  | 
               
                     
  | 
               |||
| 
                      Food distribution to children under 18 years  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to the homeless  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to women  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to single parents  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to persons 65 years of age and above  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to persons with disabilities  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to third-country nationals, persons with a foreign background or a minority  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Food distribution to others  | 
                  
                      (Yes/No) (and if yes, specify target group)  | 
               ||
| 
                      Goods distributed to children under 18 years  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to the homeless  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to women  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to single parents  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to persons 65 years of age and above  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to persons with disabilities  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to third-country nationals, persons with a foreign background or a minority  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Goods distributed to others  | 
                  
                      (Yes/No) (and if yes, specify target group)  | 
               ||
| 
                      Do not know it as it is not traceable  | 
                  
                      (Yes/No)  | 
               ||
| 
                      Not applicable as we only provide support co-financed by the ESF+  | 
                  
                      (Yes/No)  | 
               ||
                     
  | 
               |||
| 
                      Advice on food preparation/storage and nutrition (cooking workshops, recipes)  | 
                  
                      
  | 
               ||
| 
                      Health advice  | 
                  
                      
  | 
               ||
| 
                      Redirection to competent services (e.g. social services, administrations, etc.)  | 
                  
                      
  | 
               ||
| 
                      Individual coaching and workshops  | 
                  
                      
  | 
               ||
| 
                      Psychological and therapeutic support  | 
                  
                      
  | 
               ||
| 
                      Advice on job search  | 
                  
                      
  | 
               ||
| 
                      Advice on managing a household budget  | 
                  
                      
  | 
               ||
| 
                      Other support (to be specified)  | 
                  
                      [Text box to be filled in]  | 
               ||
| 
                      None (not applicable)  | 
                  
                      
  | 
               ||
                     
  | 
               ||
| 
                      {number}  | 
               
                     
  | 
               ||
| 
                      [Text box]  | 
               
                     
  | 
               ||
| 
                      {amount in EUR}  | 
               ||
| 
                      [Text box if a clarification is needed]  | 
               
                     
  | 
               |||
| 
                      ‘Very easy to comply with’  | 
                  
                      
  | 
               ||
| 
                      ‘Easy to comply with’  | 
                  
                      
  | 
               ||
| 
                      ‘Neutral’ (neither easy nor hard to comply)  | 
                  
                      
  | 
               ||
| 
                      ‘Hard to comply with’  | 
                  
                      
  | 
               ||
| 
                      ‘Very hard to comply with’  | 
                  
                      
  | 
               ||
                     
  | 
               ||
| 
                      [Text box]  | 
               
                     
  | 
               ||
| 
                      [Text box]  | 
               
                     
  | 
               ||
| 
                      [Text box]  | 
               
B.
Questions for the end recipient of ESF+ support
                     
  | 
               |||||
| 
                      Male  | 
                  
                      Female  | 
                  
                      Non-binary  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
| 
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      
  | 
               ||
                     
  | 
               ||||||
| 
                      0-17(4)  | 
                  
                      18-29  | 
                  
                      30-64  | 
                  
                      65 or above  | 
                  
                      I do not wish to answer/know/understand the question  | 
               ||
| 
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      
  | 
                  
                      
  | 
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                      Alone  | 
                  
                      
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                      In a couple without children  | 
                  
                      
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                      Alone with children  | 
                  
                      
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                      In a couple with children  | 
                  
                      
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                      Other, specify:  | 
                  
                      [Text box to be filled in]  | 
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                      I do not wish to answer/know/understand the question  | 
                  
                      
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                      Through social services/non-profit organisations  | 
                  
                      
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                      Through advertisement in the press, flyers, brochures, postcards  | 
                  
                      
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                      Through internet/social media (Facebook, Twitter, Youtube)  | 
                  
                      
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                      Through family or friends  | 
                  
                      
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                      Other, specify:  | 
                  
                      [Text box to be filled in]  | 
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                      I do not wish to answer/know/understand the question  | 
                  
                      
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                      Yes  | 
                  
                      I do not wish to answer/know/understand the question  | 
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                      Food  | 
                  
                      
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                      Goods  | 
                  
                      
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                      Advice/guidance  | 
                  
                      
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                      Yes  | 
                  
                      Partially  | 
                  
                      No  | 
                  
                      I do not wish to answer/know/understand the question  | 
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                      [Text box]  | 
               
                     
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                      Fresh vegetables and fruits  | 
                  
                      
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                      Meat  | 
                  
                      
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                      Fish  | 
                  
                      
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                      Milk  | 
                  
                      
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                      Other dairy products (butter, yogurt, cheese…)  | 
                  
                      
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                      Basic products (flour, oil, sugar, pasta, rice...)  | 
                  
                      
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                      Canned food (vegetables, fruits, meat…) or prepared meals (soups, frozen meals...)  | 
                  
                      
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                      Desserts, cookies, breakfast cereals  | 
                  
                      
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                      Tea or coffee  | 
                  
                      
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                      Baby food (powdered milk, …)  | 
                  
                      
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                      Other food  | 
                  
                      [Text box to be filled in]  | 
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                      None (not applicable as I did not receive food)  | 
                  
                      
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                      Clothes and equipment for babies  | 
                  
                      
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                      Clothes and equipment for children  | 
                  
                      
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                      Clothes and equipment for adults  | 
                  
                      
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                      Sleeping bags/blankets  | 
                  
                      
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                      Kitchen equipment  | 
                  
                      
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                      Household linen and cleaning products  | 
                  
                      
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                      Hygiene articles  | 
                  
                      
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                      Other goods  | 
                  
                      [Text box to be filled in]  | 
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                      None (not applicable as I did not receive goods)  | 
                  
                      
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                      Myself  | 
                  
                      Other adults who live with me  | 
                  
                      Children who live with me  | 
                  
                      I do not wish to answer/know/understand the question  | 
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                      I had delays due to additional procedures or documents to be provided  | 
                  
                      
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                      I had to travel a long distance  | 
                  
                      
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                      I was ashamed, I don’t like to ask for help  | 
                  
                      
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                      I had difficulties in accessing information  | 
                  
                      
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                      I had technical difficulties (no mobile phone or PC, access to websites …)  | 
                  
                      
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                      Lack knowledge of the language  | 
                  
                      
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                      Other (to be specified)  | 
                  
                      [Text box to be filled in]  | 
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                      None (not applicable as I did not face any difficulty)  | 
                  
                      
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                      I do not wish to answer/know/understand the question  | 
                  
                      
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                      A drop in income (please specify e.g. job loss, partial unemployment)  | 
                  
                      Increase in my costs (please specify e.g. due to higher cost of living)  | 
                  
                      Another reason (specify)  | 
                  
                      Not applicable as I could also not afford it last year  | 
                  
                      I do not wish to answer/know/understand the question  | 
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| 
                      
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                      Advice on food preparation/storage and nutrition (cooking workshops, recipes)  | 
                  
                      
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                      Health advice  | 
                  
                      
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                      Redirection to competent services (e.g. social services, administrations, etc.)  | 
                  
                      
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                      Individual coaching and workshops  | 
                  
                      
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                      Psychological and therapeutic support  | 
                  
                      
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                      Advice on job search  | 
                  
                      
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                      Advice on managing a household budget  | 
                  
                      
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                      Other (to be specified)  | 
                  
                      [Text box to be filled in]  | 
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                      Not applicable as I did not receive any advice or guidance  | 
                  
                      
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                      I do not wish to answer/know/understand the question  | 
                  
                      
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                      Very useful  | 
                  
                      Somewhat useful  | 
                  
                      Not very useful  | 
                  
                      Not useful at all  | 
                  
                      I do not wish to answer/know/understand the question or not applicable  | 
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                      [Text box]  | 
               
                     
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                      Yes  | 
                  
                      No  | 
                  
                      I do not wish to answer/know/understand the question  | 
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                      Yes  | 
                  
                      No  | 
                  
                      I do not wish to answer/know/understand the question  | 
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                      I live in a home that I own  | 
                  
                      
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                      I rent an apartment or house  | 
                  
                      
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                      I am hosted by family, friends or other people  | 
                  
                      
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                      I live in a home for elderly  | 
                  
                      
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                      I live in accommodation for single mothers or single fathers  | 
                  
                      
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                      I live in a university residence or a young workers’ hostel  | 
                  
                      
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               ||
| 
                      I live in accommodation for asylum seekers  | 
                  
                      
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               ||
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                      I live in a caravan or mobile home  | 
                  
                      
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               ||
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                      I live in the street (squat, slum, tent...)  | 
                  
                      
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               ||
| 
                      I live in a refugee camp  | 
                  
                      
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               ||
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                      Other (to be specified)  | 
                  
                      [Text box to be filled in]  | 
               ||
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                      I do not wish to answer/know/understand the question  | 
                  
                      
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               ||
                     
  | 
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| 
                      [Text box]  |