SA/LA - User Response, Feedback, and Request Forms

Attachment 8

Take Action: Promote Fruits and Vegetables In Your Workplace and Community Feedback Forms

TAKE ACTION: TO MAKE A DIFFERENCE! Web Resource Feedback Form

USDA/Food and Nutrition Service (FNS)

Tell us what you think! Please take a moment to review the USDA/FNS TAKE ACTION web resource, Take Action: Promote Fruits and Vegetables in Your Workplace and Community, and then transmit your comments to FNS by pushing the “Submit” button.

1. Are you planning to use the tips on the web resource: ____Yes ____No

2. If Yes, how will you use the web resource (choose one or more)?

1. ____Share it with my colleagues

2. ____Use ideas to plan events and programs in my setting to promote fruits and vegetables

3. ____To encourage other staff to plan events and programs to promote fruits and vegetables

4. ____Use in planning SNAP

5. ____ Other (explain)_____________________________________________________

3. If No, why not?___________________________________________________________________

4. How useful are the supporting links to other resources on the web resource?

Very useful____ Moderately useful____ Slightly useful____ Not useful at all____

5. What do you like best about this web resource?

6. What did you like least about this web resource?

7. Other comments:

1