Woman Infant and Children Supplemental Food Program
How WIC Works
Clinic Visit Survey
Tell Us What You Think! WIC wants to give you the best service possible and your ideas will help. Your opinion is important to us! If you have just visited a clinic, please fill out the form below. If you would rather leave general comments about how we can improve the program, click here for the Improvement Form.
Clinic: Date of visit:

Were you here for:
Pick Up Recertification Other
Please grade us for today's visit:
WIC Staff friendliness
WIC Staff knowledge
WIC Staff appearance
Length of time you had to wait
How neat & clean were the clinic & offices
Overall Service today
Additional Comments
Information Form
Clinic Visit Survey
Improvement Form


 

 

 

 

 

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