Information for site name and demographics (gender, age, etc) is NOT required. However, if you have this information please enter it. Otherwise skip to the ITC questions.
County
Site name
Gender
Age
Ethnicity
Race
Date
Curriculum/Educational Support Materials
If selected "Other", what curriculum/educational support materials were used?
The last time you shopped, did you use the "Nutrition Facts" on the food label to choose foods?✻
The next time you go shopping, will you use the "Nutrition Facts" on the food label to choose foods?✻
Please share with us how this workshop will help you and your family:
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