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Food Behavior Checklist FY17


This survey is one of UC CalFresh's suggested evaluation tools for the following curricula series - Eating Smart Being Active, Eat Smart Live Strong, Learn at Home, and MyPlate for My Family (update of Loving Your Family Feeding Their Future).

You will need matched sets of pre-post surveys for each participant to enter data here. Begin with the pre-survey data and then enter the post-survey data for each participant as directed below.


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

County and SNAP-Ed Agency Information

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.