This survey is to gather feedback on the eFVRx card pilot from participants receiving the benefit. We will use their feedback to identify successes and address program challenges before launching eFVRx statewide in July 2025.

If applicable, the survey will be completed during a clinic visit/monthly meeting and take 5 minutes to complete. Thank you for helping to improve our program and food access among your patients.

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* 1. On a scale of 1-10, how would you rate your experience shopping with the eFVRx card? (Leave blank if the participant has not used the card)

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 2. Would you continue using the card instead of the paper vouchers?

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* 3. Please share any other feedback about the electronic card.

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