OMB Number: 0584-0524 Expiration Date: XX/XXXX
Eat Smart. Play Hard.TM Kids’ Web Site
User Response Form
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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 or email to [email protected].
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 ) |
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Awesome |
Pretty Good |
O.K. |
Needs Help |
Make It Go Away |
Homepage |
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Town Library |
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Theater |
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Fitness Center |
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Power Tunes |
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Post Office |
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Eat Smart Grill |
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Fun Times Arcade |
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Travel |
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Farmer’s Market |
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Playground |
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Home |
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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:
FNS-805 (03/10)
| File Type | application/msword |
| Author | jwilson |
| Last Modified By | rgreene |
| File Modified | 2010-03-29 |
| File Created | 2010-03-29 |