We want to hear from you!
-This survey is being given to WIC clients around the state.
-It should take you about 5 minutes to complete this survey.
-Your responses will help us serve you better!

Instructions
-Select the best response(s) for you.
-This survey is voluntary, and you do not have to respond to every question.
-Your responses will be kept private.
-Your responses will not affect your WIC benefits.

This institution is an equal opportunity provider.

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* 1. How old are you?

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* 2. Overall, how long has your family participated in the WIC Program?

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* 3. Please tell us more about yourself. (Mark all that apply.)

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* 4. If you don’t always buy all of the food items issued on your eWIC card, why not? (Mark all that apply.)

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* 5. In WIC, I have learned things about: (Mark all that apply.)

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* 6. Overall, how satisfied are you with the nutrition education from the WIC Program?

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* 7. Overall, how satisfied are you with the breastfeeding support from the WIC Program?

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* 8. What healthy changes have you and your family made after you began participating in the WIC Program? (Mark all that apply.)

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* 9. What topics would you like to learn more about? (Mark all that apply.)

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* 10. Use this space if you would like to leave a comment for the Kansas State WIC Office about nutrition education and foods.

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* 11. If you would like the Kansas State WIC Office Staff to respond to your comment above, please provide your email address.

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