USDA MyPlate National Outreach Campaign

Generic Clearance to Conduct Formative Research or Development of Nutrition Education and Promotion Materials and Related Tools and Grants for FNS Population Groups

Attachment A-3 Survey Screenshots (English)

USDA MyPlate National Outreach Campaign

OMB: 0584-0524

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Screen 1: Language Preference (Q1)

Screen 2: Privacy Act Statement





Screen 3: Consent Form

Screen 4: OMB Burden Statement





Initial Questions about Respondent Demographics

Q2







Q3

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Q5

Q6, Q7





Q8

Q9

Q10



Q11

Q12

Q13



Q14

Q15

Q16 (Program Name Only version, shown to half of respondents)

Q16 (Program Name + Logo version, shown to half of respondents)

Q17





Q18

Q19

Q20

Q21

Q22



Q23

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Q25





Q26







Q27

Q28







Q29

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Q31

Q32



Q33

Q34



Closing Screen

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