Do I Qualify?

Please complete the short questionnaire below to see if you might qualify for meals.

Do you qualify for meals?

Please answer these questions to the best of your ability to see if you might qualify for our program.
Is the person applying for meals restricted to the home at least 75% of the time? *
Does the person applying for meals have physical limitations that make it difficult to prepare meals for themselves? *
Does the person applying for meals have a caregiver or family member that assists them during the day? *
How many hours is the caregiver or family member at the home each day?*

Do you qualify for meals?