Customer Satisfaction Survey Question Title * 1. How did you hear about the WIC program? Choose all that apply. Friend or family member Professional staff (doctor, nurse, social worker, school staff, etc.) Attended health fair, baby expo, etc. Found information online Other (please specify) Question Title * 2. I have trouble attending my WIC appointments. Never Rarely Sometimes Very Often Always Question Title * 3. What, if anything, makes it hard to attend appointments? Choose all that apply. Transportation Getting time off work No childcare for children who are not on WIC Language barrier I don’t want my friends or neighbors see me go to a WIC appointment I don’t have trouble attending Other, please explain Question Title * 4. How could we help you attend appointments? Choose all that apply. Earlier/later office hours Appointments during lunch hour Weekend appointments Appointments over the phone Home visiting Text/Email reminders Other, please explain Question Title * 5. How likely are you to recommend WIC to your friends or family? Not Likely Somewhat Likely Neutral Very Likely Extremely Likely Question Title * 6. Any other feedback you would like for WIC to know to better serve you and your family? Done