The National Health and Nutrition Examination Survey Flexible, Consumer Behavior Survey module contains 7 items regarding the current and past use of government food assistance through the Women, Infants and Children (WIC) program. Navigational aspects (i.e. skip-out patterns and next question sequences) have not been included on this page but can be viewed on the original questionnaire located here.
Geographies Tested: United States of America
Populations Included: Female, Male
Age Range: Adolescents, Adults, Children
1. Did {name} receive benefits from WIC, that is, the Women, Infants, and Children program, in the past 12 months?
2. Is {name} now receiving benefits from the WIC program?
3. Did {name} receive benefits from WIC when {heshe} was less than one year old?
4. Did {name} receive benefits from WIC when {heshe} {wasis} between the ages of {1 to {current age4} years old12 to {current age} months old}?
Response Options:
Yes
No
Refused
Don't know
5. How long {did name receivehas name been receiving} benefits from the WIC program?
Response Options:
[__] numeric
Refused
Don't know
Enter unit:
Month - 1
Years - 2
Refused - 7
Don't know - 9
6. Did {name’s} mother receive benefits from WIC, while she was pregnant with {name}?
Response Options:
Yes
No
Refused
Don't know
7. What month of the pregnancy did {name’s} mother begin to receive WIC benefits?
Response Options:
[__] month
Refused
Don't know
Not Applicable
Centers for Disease Control and Prevention(2010). National Health and Nutrition Examination Survey NHANES 2011-2012 Flexible Consumer Behavior Survey (FCBS) Module. https://wwwn.cdc.gov/nchs/nhanes/Search/DataPage.aspx?Component=Questionnaire&CycleBeginYear=2011
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