Form C: Free-writing

drawing credit: Hilal Bozkurt
Below is a questionnaire that aims to ask as carefully as possible about different special dietary situations. Since the questions needed for each situation are not always the same, the full questionnaire is quite long. For practical reasons, we group the questions into categories instead of showing everything at once. In Jotform, these can appear as separate sections.
The visual below is intended to work like an index to the questionnaire. To see all questions, you can download the full version from the link here.
A Personal Food Access Rider
Alongside the structured questionnaire, I have written a free-form food access rider based on my own lived experience. This text makes space for what forms and checklists do not always capture: uncertainty, trust, repetition, negotiation, and the practical details that shape whether eating feels safe, social, or exhausting. I share it here as both a personal document and a broader reflection on food access.







