Recipient Agency - Monthly Demographic Data Report
Recipient Agency Information
Filled out by (first name):
Filled out by (last name):
Recipient Agency Name
Email Address
Aloha Harvest Account ID
Your organization's unique
Aloha Harvest Account ID sent via email
(ex. 0013t00001cxjgDAAQ)
Reporting Month
Please select...
January
February
March
April
May
June
July
August
September
October
November
December
Please select the month you are reporting data for.
Ethnicity
How many individual food recipients did you serve in the past month?
Please provide a percentage breakdown of the individuals your organization served in the past month by ethnicity. Click
here
for a free online percentage calculator.
Native American or Alaska Native
%
Asian
%
Black or African American
%
Hispanic or Latino
%
Native Hawaiian
%
Pacific Islander
%
White
%
Other
%
Please specify ethnicities.
Total
%
Total should equal 100%
Age
How many individual food recipients did you serve in the past month?
Please provide a percentage breakdown of the individuals your organization served in the past month by age group. Click
here
for a free online percentage calculator.
What percentage of individuals served were
children
?
%
Ages 0-17
What percentage of individuals served were
adults
?
%
Ages 18-61
What percentage of individuals served were
elderly
?
%
Ages 62+
Total
%
Total should equal 100%
Region
How many individual food recipients did you serve in the past month?
Please provide a percentage breakdown of the individuals you served in the past month by region.
Note: If all food recipients reside in one facility, total should be 100% for that specific region.
North Shore
%
Hale'iwa, Hau'ula, Lā'ie, Pūpūkea, Kahuku, Waialua
Waianae
%
Wai'anae, Nānākuli
Windward
%
Kailua, Kāne'ohe, Waimānalo, Ka'awa, Lanikai, Kualoa
Leeward
%
'Ewa Beach, Kapolei
Central
%
Pearl City, Wahiawa, Waipahu, Mililani, 'Aiea
Honolulu
%
Honolulu
Total
%
Total should equal 100%
General Feedback
If you have general feedback, testimonials, comments, or concerns for the Aloha Harvest team, feel free to type them below.
If you are unable to submit the form, please double-check that all the totals for your percentages equal to 100%.
Contact Information