Women, Infants and Children Overseas Participant Satisfaction Survey

HA (SA) 2341

OMB # Exp. Date

Women, Infants and Children Overseas Program (Please indicate your response by placing a check mark (√) in the applicable box)	Strongly Agree		Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree
1. I was able to reach the WIC Overseas Office by phone easily.
2. I located the WIC Overseas office without difficulty.
3. My appointment was conducted in a private environment.
4. The staff was courteous.
5. The staff was able to answer my questions to my satisfaction.
6. I understood how to use the drafts upon leaving my appointment.
7. I am using the nutritional and health information I received to improve my family’s health.
8. I would recommend the WIC Overseas Program to a friend or relative.
9. If you have participated in the WIC Program in the United States, how does the WIC Overseas Program compare? WIC Overseas is:  Better  Same  Worse  Did not participate in WIC in the United States 10. How satisfied are you with the WIC Overseas Program?  Very Satisfied  Satisfied  Somewhat Satisfied  Dissatisfied  Very Dissatisfied 11. Comments: ___________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________

WOMEN, INFANTS and CHILDREN OVERSEAS PARTICIPANT SATISFACTION SURVEY

Please take a few minutes to complete this survey. Your feedback is an important part of our ongoing efforts to

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Thank You!

ake the WIC Overseas Program a successful community program. Your responses will be treated anonymously.