Individual - Response-Feedback-Request

Generic Clearance to Conduct Formative Research

ATTH 3 User Response Form-Kids Web Site

Individual - Response-Feedback-Request

OMB: 0584-0524

Document [doc]
Download: doc | pdf

Attachment 3




Eat Smart. Play Hard.TM Kids’ Web Site

User Response Form


______ ________________________________________________________ __


Please take a few minutes to review the Eat Smart. Play Hard.TM Kids’ Web Site and transmit your comments to FNS by hitting the “submit” button at the bottom of this page.


Who are you? (Check all that apply)

  • Student – Age: __________

  • Teacher

  • Parent

  • WIC Nutritionist

  • Food Stamp Nutrition Educator

  • School Foodservice Director/Manager

  • School Nurse/Health Council Member

  • School or Program Administrator

  • Other:____________________________________


Tell us how you feel about the different sections of the web site:


Web Site Section


Rate the Sections You Visited

(Check )


Awesome

Pretty Good

O.K.

Needs Help

Make It Go Away

Homepage






Town Library






Theater






Fitness Center






Power Tunes






Post Office






Eat Smart Grill






Fun Times Arcade






Travel






Farmer’s Market






Playground






Home







What did you like best about the Kids’ Web Site:

What did you like least about the Kids’ Web Site:

What would you change to improve the Kids’ Web Site:

How do you intend to use the Kids’ Web Site:

2


File Typeapplication/msword
File TitleNutrition Education Feedback Form
AuthorDbailey
Last Modified ByAdministrator
File Modified2007-12-20
File Created2007-12-20

© 2024 OMB.report | Privacy Policy