Please do your best to fill out completely.
Instructions: Please complete this form when you have a food tasting with adult UC CalFresh participants. Do not use this form with youth. Please tell the participants that you have some food(s) for them to try if they like. Tasting is voluntary. All responses are confidential. Enter your answers in numerical form (10, 12, 15). Do not enter as words, "ten", "twelve", "fifteen".
Agency or site name
Date: Please enter date in the following format mm/dd/yyyy. For example, 01/12/2016✻
Which food did the participants taste in class today?✻
How was the food presented? Choose the best answer.✻
How many participants attended the class today?✻
Before today's class, how many participants had tried this food before?✻
How many participants tried the food today?✻
How many participants were willing to try the food again?✻
How many participants were willing to serve this food at home to their families?✻
Comments: Please add comments and observtions during the tasting or observations that were linked to the tasting
Is this the first time that you have entered Adult Taste Test data for this group during this year? (Only select "yes" one time in the year for this class or group of participants.)✻