# Commission Implementing Regulation (EU) 2016/594 of 18 April 2016 establishing a template for the structured survey on end recipients of food and/or basic material assistance operational programmes of the Fund for European Aid to the Most Deprived pursuant to Regulation (EU) No 223/2014 of the European Parliament and of the Council, Division B: QUESTIONS FOR THE END RECIPIENT Extent: E+W+S+N.I. B1. Are you male or female? Male Female B2. Could you please tell me how old you are? 15 or less 16-24 25-49 50-64 65 or above Does not wish to answer Does not know or does not understand the question B3. Could you please tell me whether you are a single parent? Yes No Does not wish to answer Does not know or does not understand the question B4. Could you please tell me what type of assistance you received just now (or you will receive now)? Yes No Does not wish to answer Does not know or does not understand the question Food packages Meals Layette (baby essentials) School bags Stationery, exercise books, pens, painting equipment and other equipment required in school (non-clothes) Sports equipment (sport shoes, leotard, swimsuit, etc.) Clothes (winter coat, footwear, school uniform, etc.) Sleeping bags/blankets Kitchen equipment (pots, pans, cutlery, etc.) Household linen (towels, bedclothes) Hygiene articles (first aid kit, soap, toothbrush, disposable razor, etc.) Other categories of goods [Text box to be filled in] B5. Could you please tell me who is receiving this assistance? Yourself Other people in your household Does not wish to answer Does not know or does not understand the question If the answer to question B5 is ‘Yourself’ only, skip question B6. B6. Could you please tell me whether other people will also benefit from this assistance? And if so, could you say how many (not including yourself), and what is their age and their gender? Male Female 5 or less 6-15 16-24 25-49 50-64 65 or above Does not wish to answer Does not know or does not understand the question B7. Could you please tell me whether this is the first time that you have come to get this assistance? Yes No Does not wish to answer Does not know or does not understand the question If the answer to question B7 is ‘Yes’, ‘Does not wish to answer’ or ‘Does not know or does not understand the question’, then go directly to question B9. B8. Could you please tell me how often you come to get this assistance? Daily Weekly Monthly Other Does not wish to answer Does not know or does not understand the question B9. Do you know when you will need the same assistance again? Tomorrow Within next week Within next month Other Does not wish to answer Does not know or does not understand the question B10. Could you please tell me whether you faced any difficulties in getting this assistance? Yes No Does not wish to answer Does not know or does not understand the question B10a. If yes, please tell me which kind of difficulties you faced? Need to get some papers from some national, regional or local office Need to travel a long distance Psychological hurdles Other (to be specified) [Text box to be filled in] Does not wish to answer Does not know or does not understand the question B11. Could you tell me whether the assistance provided by the FEAD has made a difference to you or to the members of your household? Yes Partially No Does not wish to answer Does not know or does not understand the question B11a. If ‘No’ or ‘Partially’, could you please tell me why? Insufficient quantity of food/goods Insufficient frequency of food/goods distribution Insufficient quality of food/goods Other type of assistance required (to be specified) [Text box to be filled in] Does not wish to answer Does not know or does not understand the question B12. A year ago, could you or your household afford to purchase the food/goods you just received? Yes No Does not wish to answer Does not know or does not understand the question B13. Could you please tell me whether you and/or other members of your household are receiving assistance from other organisations? Yes No Does not wish to answer Does not know or does not understand the question B13a. If yes, could you please tell me what type of assistance you receive from other organisations? Yes Does not wish to answer Does not know or does not understand the question Food packages Meals Layette (baby essentials) School bags Stationery, exercise books, pens, painting equipment and other equipment required in school (non-clothes); Sports equipment (sport shoes, leotard, swimsuit, etc.) Clothes (winter coat, footwear, school uniform, etc.) Sleeping bags/blankets Kitchen equipment (pots, pans, cutlery, etc.) Household linen (towels, bedclothes) Hygiene articles (first aid kit, soap, toothbrush, disposable razor, etc.) Other [Text box to be filled in] B14. If you have received (now or in the past) advice or guidance through this organisation, please could you tell me what it was about? Advice on food preparation and storage, cooking workshops, educational activities to promote healthy nutrition, or advice on how to reduce food waste Personal cleanliness advice Redirection to competent services (e.g. social/administrative) Individual coaching and workshops Psychological and therapeutic support Advice on managing a household budget Other (to be specified) [Text box to be filled in] Does not wish to answer Does not know or does not understand the question B15. Could you please tell me whether you found this advice or guidance useful or not? Very useful Somewhat useful Not very useful Not useful at all Does not wish to answer Does not know or does not understand the question B16. Could you please tell me whether you have any income from work? Yes No Does not wish to answer Does not know or does not understand the question B17. Could you please tell me whether you get any other income or benefits? Yes No Does not wish to answer Does not know or does not understand the question B18. Could you please tell me whether any members of your household have any income from work? Yes No Does not wish to answer Does not know or does not understand the question B19. Could you please tell me whether any members of your household get any other income or benefit? Yes No Does not wish to answer Does not know or does not understand the question B20. Could you please tell me whether you have the nationality of this country? Yes No Does not wish to answer Does not know or does not understand the question B21. If no, could you please tell me whether you have the nationality of another EU country? Yes No Does not wish to answer Does not know or does not understand the question B22. Could you please tell me if you are an asylum seeker or a refugee? Yes No Does not wish to answer Does not know or does not understand the question B23. Could you please tell me whether you have a place to live? Yes No Does not wish to answer Does not know or does not understand the question B23a. If you do have a place to live, could you please tell me what type of place this is? Owned or rented dwelling or house, either alone or with the family Shared dwelling with friends and other people Institutional long-term home (home for elderly, single mothers, asylum seekers) Sheltered housing Ruined house or slum Mobile home/caravan Refugee camp Other (to be specified) [Text box to be filled in] Does not wish to answer Does not know or does not understand the question --- Source: https://www.legislation.gov.uk/eur/2016/594/annex/division/B (the official version) Page: https://openlegislation.uk/eu-regulation-2016-594/annex/division-B Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives.