Contact Us

More Than a Mealâ„¢

GAP Shopping Report

Please submit within 24 hours of shopping trip.
Questions? Email morethanameal@mowcm.org




Please enter individual receipt total and attach receipt image.
Is this a return? YesNo
Receipt Date:* Receipt Amount:*
Payment Method:* If other, please explain:

Attach receipt

Were two forms of payment used in the same transaction or do you have more receipts to enter?*

Is this a return? YesNo
Receipt Date: Receipt Amount:
Payment Method: If other, please explain:

Attach receipt

Is this a return? YesNo
Receipt Date: Receipt Amount:
Payment Method: If other, please explain:

Attach receipt

Is this a return? YesNo
Receipt Date: Receipt Amount:
Payment Method: If other, please explain:

Attach receipt

Will client check and/or receipt be mailed? YesNo

Did you assist with putting food away? YesNo

Did you help the client in another capacity? YesNo
If yes, please explain:

DO YOU HAVE A CLIENT CONCERN? YesNo
If yes, please explain:

Have you seen that your grocery client has made wiser food choices since they started the program? YesNo
If no, please explain:

Have you noticed that your grocery client is selecting more fruits and vegetables, or other healthy options? YesNo
If no, please explain:

My client always wants me to shop for:

My GAP client appears to have enough food in the home: YesNo
If no, please explain:

My GAP client's home appears neat and in good repair: YesNo
If no, please explain:

My GAP client appears socially engaged and in good spirits: YesNo
If no, please explain:

Rate your overall experience as a Meals on Wheels GAP volunteer from 1 (Poor) to 5 (Excellent):

If you wish, please share a story about your volunteer experience:

Volunteer Your Time or Donate Today!

Get InvolvedDonate