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* 1. When did you visit the WIC office?

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* 2. Was your appointment on the day you wanted?

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* 3. Was the amount of time spent okay?

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* 4. Did staff explain what would happen during your appointment?

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* 5. Was staff helpful and friendly?

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* 6. Did you feel comfortable providing private information?

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* 7. Were the waiting areas and offices clean?

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* 8. Was your phone call answered?

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* 9. Were you able to speak with someone?

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* 10. If not, were you able to leave a message?

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* 11. If you left a message, was your call returned?

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* 12. Would you recommend this WIC program to family and friends?

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* 13. Please let us know anything else that may help us provide quality WIC services.

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