Please take a few minutes to complete this survey on the quality of services we provide. We welcome your feedback and appreciate your honesty. Thank you for your cooperation.

This survey is optional, and your responses are anonymous and confidential. A summary of the anonymous results may be made available to the public.

* 1. Please select the description that best fits you.

* 2. For each item listed below, please indicate your level of agreement by selecting the response that most closely describes your recent experiences with the Georgia WIC program. (Select one option for each item below)

  Strongly Agree Agree Neutral Disagree Strongly Disagree Does Not Apply
My questions and correspondence are promptly answered by Georgia WIC.
I believe my patients/clients benefit from WIC.
The benefits of WIC are not worth the added work it takes for me to complete medical documentation forms.

* 3. Do you know if your patients/clients participate in WIC?