WIC and HANDS Program Interest Survey

Question Title

* 1. Are you interested in the HANDS program?

Yes

No

Question Title

* 2. Are you interested the WIC program? WIC is for children up to age 5, pregnant women, or postpartum women up to 6 months postpartum, and infants.

Yes

No

Question Title

* 3. If you are interested in one of these programs, please provide your name, phone number and/or email address.