FNS-793 FNS Core Nutrition Message Feedback Form

OMB APPROVED NO. 0584-0524
Expiration Date: XX/XX/XXXX

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FNS Core Nutrition Messages-Feedback Form.
Your feedback is important to us. It will assist us in planning so that we can meet your needs. Take a few
minutes to share your thoughts with us. Email comments to [email protected] or fax it to her
attention at 703-305-2576.
Messages
Let us know what message you use?

Check the column that applies.
Using the Plan
messages to use

Do not plan
to use

Unsure

Messages for Mothers of Preschool Children
1. They learn from watching you. Eat fruits and veggies
and your kids will too.
2. They take their lead from you. Eat fruits and veggies
and your kids will too.
3. Cook together. Eat together. Talk together. Make
mealtime a family time.
4. Make meals and memories together. It's a lesson they'll
use for life.
5. Let them learn by serving themselves.
6. Let your kids serve themselves at dinner. Teach them
to take small amounts at first.
7. Tell them they can get more if they're still hungry.
8. Sometimes, new foods take time. Kids don't always
take to new foods right away. Offer new fruits and
veggies many times. Give them a taste at first and be
patient with them.
9. Patience works better than pressure. Offer your
children new foods. Then, let them choose how much
to eat. Kids are more likely to enjoy a food when eating
it is their own choice. It also helps them learn to be
independent.
Messages for Mothers of Elementary School Kids
1. Want your kids to reach for a healthy snack? Make
sure fruits and veggies are in reach.*
2. When they come home hungry, have fruits and veggies
ready to eat.*
3. Let your kids be “produce pickers.” Help them pick
fruits and veggies at the store.
4.They're still growing. Help your kids grow strong. Serve
fat-free or low-fat milk at meals.
Messages for 8-10 year old children
1. Eat smart to play hard. Drink milk at meals.
2. Fuel up with milk at meals. And soar through your day
like a rocket ship.
3. Snack like a super hero. Power up with fruit and yogurt.
4. Eat smart to play hard. Eat fruits and veggies at meals
and snacks.
5. Fuel up with fruits and veggies. And soar through your
day like a rocket ship.

Form FNS-793 (07-09) Previous Editions are Obsolete

SBU

1
Electronic Form Version Designed in Adobe 10.0 version

A. If you are currently using any of the messages, please share with us how you are using them and
what goals they support (attach a copy of related resources and materials please).
Add Attachments

B. If you are planning to use any of the messages, please indicate how you plan to use them and when you
will implement your plans.

C. If you are not planning to use messages, please tell us why? For example, are there barriers that we can
address, do you serve a unique population group or maybe you just do not think they would work with
your audience.
D. What if any new messages would you like us to develop? Please indicate the behaviors you want us to
address first and the target audience? Be as specific as possible.
Behavior or topic to address

Target Audience

[

E. Have you visited the core message web pages?

Others

] Yes

[

] No

F. If yes, how useful was the information on the web pages?
1. [

2. [

] very useful

] useful

3. [

] somewhat useful

4. [

] not useful

G. What part(s) of the web-pages did you find most helpful?

H. What part(s) of the web-page did you find least helpful?

I. What suggestions do you have for improving the Core Message web pages? Please be specific.
J. Tell us about you (optional).
Are you a nutritionist

[

] Yes

Where do you work?

[

] State Agency [

[

] No
] Local/County Level [

] National level

What agency/programs do you work with?
[

] WIC

[

[

] Other FNS program

[

] NFP

[

] Federal government (specify department please)

[

] Others (specify)

[

] SNAP

[

] School Nutrition Program

[

] CACFP

[

] CES

[

] Professional Association

] Private industry

[

] EFNEP

[

] Advocacy organization

Other comments:

Thank you for your feedback. Please forward the completed form to [email protected]
or fax it to 703-305-2576.
Form FNS-793 (07-09) Previous Editions are Obsolete

SBU

2

Electronic Form Version Designed in Adobe 8.1 version