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FarmHer to Mama - Mama Feedback Survey
Please take a few minutes to complete this anonymous survey to help us improve the FarmHer to Mama program. Your input is essential to helping us provide the best experience possible for our mamas and families.
Tote Contents
1.
How satisfied are you with the overall
quality
of the food in your FarmHer to Mama tote?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
2.
How satisfied are you with the overall
variety
of produce and other items in your FarmHer to Mama tote?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
Education and Resources
3.
How useful do you find the
recipe and resource cards
included in your FarmHer to Mama tote?
Extremely useful
Very useful
Somewhat useful
Not so useful
Not at all useful
4.
How useful do you find the
newsletter
included in your FarmHer to Mama tote?
Extremely useful
Very useful
Somewhat useful
Not so useful
Not at all useful
5.
How useful do you find the nutrition and cooking education provided through Purdue Extension Nutrition Education Program?
Extremely useful
Very useful
Somewhat useful
Not so useful
Not at all useful
None of the above - I haven't participated in the education.
6.
My knowledge about nutrition has increased as a result of the FarmHer to Mama program.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
None of the above - I just recently entered the program.
7.
My confidence in preparing nutritious meals has increased as a result of the FarmHer to Mama program.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
None of the above - I just recently entered the program.
8.
My knowledge about SNAP, WIC, and the WIC Farmers Market Nutrition Program has increased as a result of the FarmHer to Mama program.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
None of the above - I just recently entered the program.
9.
I was able to use my SNAP and/or WIC Farmers Market Nutrition Program benefits at a farmers market this year.
Yes
No
Other (please specify)
Program Experience
10.
How satisfied are you with your overall experience with the FarmHer to Mama program?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
11.
How satisfied are you with the level of communication you receive about FarmHer to Mama food tote deliveries, upcoming events, and available nutrition and education resources?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
12.
The FarmHer to Mama program has improved my family's access to fresh, nutritious food.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
13.
The FarmHer to Mama events have been a positive experience for me as a new mother.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
None of the above - I have not attended any of the FarmHer to Mama events.
14.
I feel supported and encouraged through the FarmHer to Mama program.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Suggestions and Improvements
15.
Do you have any recommendations for improving the tote contents? (more or less of specific items, more variety of items, more culturally relevant items, etc.)
16.
Is there anything specific you would like to learn more about in future programming (recipes, food prep, health tips, etc.)?
17.
Do you have any additional feedback, comments, or a story/testimonial about the FarmHer to Mama program you would like to share?