Teach your kids to make healthy food choices WIC Nutrition Education and Survey 
After reading the nutrition education sheet, please answer these questions and press submit. This will count as your nutrition education for WIC.
Sign in to Google to save your progress. Learn more
Clear selection
Name (please list the name of each WIC participant) *
How many food groups are on MyPlate  *
At least 2 food groups should be used in a snack  *
You should choose whole grains in meals  *
Beans and eggs are WIC foods that are protein  *
Would you like to speak to a WIC health professional today?  *
Enter the Date Completed 
*
MM
/
DD
/
YYYY

This institution is an equal opportunity provider.

 

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ottawa County, Ohio. Report Abuse