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Plan, Shop, Save, Cook FY16

 

Please fill out as completely as possible.

This survey is designed for the UC CalFresh Plan, Shop, Save, and Cook series. You will need matched sets of pre-post tests for each participant to enter data here. Begin with the pre-test data and then enter the post-test data for each participant as directed below.

Enter Pre-test (Entry) data first. Enter one choice per question.

Please enter post-test (Exit) data.  Choose one option for each question.

   

Please enter personal information about the participant. 

If available, please enter personal information about the client.  Demographic information (gender, age, etc) is NOT required. However, if you have this information please enter it.

Check all races participant identifies with: