WIC Participant Survey

1. Default Section

 
1. What is your age range?
2. What is your zip code?
*
3. Which of the following do you receive?
4. When do you typically shop? (Days of week and/or time of day)
5. How far are you willing to travel to get to a store?
6. What influences you in your willingness to travel to get to a store?
7. Which of the following do you use?
8. What features do you look for in a grocery store?
9. What do you dislike the most about grocery stores?
10. If you would like to receive information about our grand opening or specials please fill out the following information:(optional)
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