Food Security Questionnaire
Respondent sequence number
Food adequacy indicator
Household WIC received
No. people in HH authorized for fd stmps
Authorized for fd stmps in last 12 mos
No. mos authorized in last 12 mos
Currently authorized for fd stmps
Child received WIC in past 12 months
Child currently receives WIC
How long child receiving WIC?
Mom received WIC in past 12 months
Mom currently receives WIC
How long mom receiving WIC?
Household food security category
Adult food security category
Child food security category