VegU-cation Questionnaire

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery - AMS

VegUcation Questionnaire (rev. OMB) 8-16-17

VegU-cation Questionnaire

OMB: 0581-0269

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OMB No. 0581-0269

VegU-cation Questionnaire


Mission: The purpose of this survey is to learn how familiar customers are with the fruit or vegetable featured; to learn what customers are taking away from the classes; and if attending VegU-cation effects market purchases.


1. What was the fruit or vegetable featured at VegU-cation today? __________________________


2. Have you eaten this fruit or vegetable before today?

Yes No


3. Have you ever grown this fruit or vegetable?

Yes No


If yes, where?

Farm Community Garden School Garden Home Garden Other ___________________


4. Have you ever cooked a dish that included this fruit or vegetable?

Yes No


5. How likely are you to purchase the featured fruit or vegetable after attending today’s class?

Unlikely

Likely


6. Did you purchase the featured fruit or vegetable at today’s farmers market?

Yes No Not yet but plan to

I would have but it was not available to purchase

I would have but I could not find it to purchase

I will purchase it at my local farmers market and/or grocery store

I will not purchase it


7. What information shared during today’s class was most useful to you?

Seeing the fruit or vegetable growing on the plant

How to pick the fruit or vegetable

How to store the fruit or vegetable

How to cook with the fruit or vegetable

Nutritional information about the fruit or vegetable

Fun facts about the fruit or vegetable


8. Overall, how would you rate the quality of today’s presentation and instructor?

Poor Fair Good Very Good Excellent



9. How likely are you to attend another class?

Unlikely

Likely

Very Likely


10. How did you find out about VegU-cation?

  • Word of mouth (from friend, family member, coworker)

  • The radio

  • Read an article online or in print

  • On social media

If so, which platform: Instagram Facebook Twitter

Flickr the USDA website

  • Stumbled upon it by accident

  • Saw poster, postcard or other print advertisement

  • Recommended by hotel, tour guide or tourism agency

  • Other _______________________



11. Share your feedback. Have suggestions to improve VegU-cation?

















According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number.  The valid OMB control number for this information collection is 0581-0269.  The time required to complete this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. 

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.


USDA is an equal opportunity provider, lender and employer.

2017


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