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-4 Survey Screenshots (Spanish)

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

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Q6, Q7





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Q11

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Q14

Q15

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

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

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Closing Screen

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorChelsea Frank
File Modified0000-00-00
File Created2023-12-12

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