FNS 804 Healthy Lifestyle User Response

OMB Number: 0584-0524 Expiration Date:  XX/XXXX 

User Response Form

Eat Smart. Play Hard.^TM

Healthy Lifestyle Web Site

____________________________________________________________ ____

Help us serve you better! Please take a moment to review the Eat Smart. Play Hard.^TM Healthy Lifestyle parents web site and then transmit your comments to FNS by hitting the “submit” button at the bottom of the page or email to: [email protected].

Who are you? (check all that apply)

□ Parent □ Teacher

□ WIC Nutritionist □ School Nurse or Health Council Member

□ FSNE Educator □ Foodservice Director or Manager

□ Program or School Administrator □ Other: ____________________________________

Please tell us which sections of the site you visited and how you liked them:

Web Site Sections	Check Off Sections Not Visited	Rate The Sections You Visited
		Loved it	Useful	Ok	Not interesting	No help at all
Get Ready
Making Smart Choices
Make it Quick and Easy
Play Hard Your Way
Tools to Help You
Keep Score

What did you use on the web site?

Tell us what you liked best about the Healthy Lifestyle web site.

Tell us what you liked least about the Healthy Lifestyle web site.

Please share your ideas on how to improve the web site.

FNS-804 (03/10)