Child Nutrition Product Survey Form
Thank you for participating in the Child Nutrition Product Survey. Your feedback will help us improve child nutrition products and better meet your needs.
Which of the following best describes your relationship to the child using the nutrition product?
*
Parent or Guardian
Caregiver
Healthcare Professional
Other
How old is the child using the nutrition product?
*
Please Select
Under 1 year
1–2 years
3–5 years
6–8 years
9–12 years
Which child nutrition product are you providing feedback on?
*
How frequently does the child use this nutrition product?
*
Daily
Several times a week
Once a week
Occasionally
First time
Please rate your overall satisfaction with the product.
*
1
2
3
4
5
How would you rate the following aspects of the product?
*
Rows
Taste
Ease of Use
Packaging
Value for Money
Very Poor
1
2
3
4
Poor
5
6
7
8
Average
9
10
11
12
Good
13
14
15
16
Excellent
17
18
19
20
How likely are you to recommend this product to others?
*
Not at all likely
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not at all likely, 10 is Extremely likely
What benefits have you noticed since using the product?
Improved appetite
Better digestion
Increased energy
No noticeable change
Other
What improvements would you suggest for this product?
Please share any additional comments or experiences.
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