Healthy Eating Active Living (HEAL) Stakeholder Survey
Shape Up SF is convening a forum with funders next year to openly and candidly relay to them challenges that face nonprofits and other stakeholders in SF who are working to promote healthy eating and active living. Our goal is to foster a collaborative, productive conversation with funders that will strengthen our HEAL community.

We need your feedback!  Please fill out this survey by December 12, 2018 to be entered into a raffle to win a $175 gift certificate for a capacity building training from CompassPoint. Check out their workshops at www.compasspoint.org/workshops.
Sign in to Google to save your progress. Learn more
What is your name? *
What is your email? *
Organizational Info
Please answer the questions below about your organization.
What is your organization's name? *
Is your organization a 501c(3)? *
What year was your organization founded? *
What is your organization's mission?
What is your organization's website?
Approximately how many full time employees does your organization have? *
Which of the following populations does your organization serve? Please check all that apply. *
Required
Please list the neighborhoods that your organization serves. *
Please describe your organization’s top 3 strengths/assets that help make a positive impact on the populations you serve in terms of healthy eating and active living. *
How does your organization decide what grants to apply for? Please select all that may apply. *
Required
Healthy Eating Active Living (HEAL) Funding
In the last five years, how many grants to promote healthy eating and/or active living (HEAL) has your organization applied for? *
Of the HEAL grants that your organization applied for in the last 5 years, how many were funded? *
What supports does your organization need to be more successful in your APPLICATIONS for HEAL funding?
What organizational infrastructure supports do you think your organization needs help with most in IMPLEMENTING HEAL grants?
Briefly describe any of the organizational infrastructure supports that you selected above.
What other supports does your organization need to IMPLEMENT HEAL grants? Check all that apply.
What would you like funders to learn or know to help you do your work better? *
Please check all the elements that your organization currently has in a dedicated staff/committee: *
Required
If none of the above, which are the top 3 that would have the greatest impact for your organization?
If someone fulfills 1 or more of these roles listed above among other roles and responsibilities, please explain.
Board of Directors
Please tell us more about your Board of Directors.
What value does your board bring to your organization?
Number of board members:
How often do you have board meetings?
Clear selection
How long are board terms?
How engaged in fundraising are your organization's board members?
Not engaged
Very engaged
Clear selection
Are you looking for new board members?
Clear selection
Additional Comments
Please share any comments that were not captured in the questions above.
Are you willing to participate in a brief interview  to expand on any of your responses? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy