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) |
|
|||
Daily |
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||
Twice a week |
|
||
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’ |
|
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||
[Text box] |
|
||
[Text box] |
|
||
[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 |
||
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|
|
|
|
||||||
0-17(3) |
18-29 |
30-64 |
65 or above |
I do not wish to answer/know/understand the question |
||
|
|
|
|
|
|
|||
Alone |
|
||
In a couple without children |
|
||
Alone with children |
|
||
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 |
|
|
|
|||||
Yes |
Partially |
No |
I do not wish to answer/know/understand the question |
||
|
|
|
|
|
|||
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 |
|
||
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 |
|
||
Clothes and equipment for adults |
|
||
Sleeping bags/blankets |
|
||
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 |
||
|
|
|
|
|
|||||||
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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||
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|
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|
||
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||
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|
||
|
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|
|||
I live in a home that I own |
|
||
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 |
||
|
|
|
|
|
|
|||
Alone |
|
||
In a couple without children |
|
||
Alone with children |
|
||
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 |
|
|
|
|||||
Yes |
Partially |
No |
I do not wish to answer/know/understand the question |
||
|
|
|
|
|
||
[Text box] |
|
|||
Fresh vegetables and fruits |
|
||
Meat |
|
||
Fish |
|
||
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 |
|
||
Clothes and equipment for adults |
|
||
Sleeping bags/blankets |
|
||
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 |
||
|
|
|
|
|
|||
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 …) |
|
||
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 |
||
|
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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 |
|
||
I rent an apartment or house |
|
||
I am hosted by family, friends or other people |
|
||
I live in a home for 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] |