• Note: The entry form, recall form, and exit form in both English and Spanish can be customized to reflect your institution’s logo(s) and disclaimer(s). 

If you want to include your institution’s logo(s) and disclaimer(s), simply use the content editing feature in Adobe PDF and add text and images. There is ample space to add logos and disclaimers in that area of the forms.

You will not be able to change any other  content on these forms.  If you want to change anything besides adding your logo(s) and disclaimer(s), please contact us and we can create a customized form for you.

EFNEP Adult Entry and Exit Forms FY21

English Forms

• EFNEP Entry Form (Demographics) with EFNEP Adult Questionnaire (Opens as a PDF)

• EFNEP Exit Form (Demographics) with EFNEP Adult Questionnaire and 24-hour dietary recall (Opens as a PDF)

• EFNEP Entry Recall Form (Opens as a PDF)

• English Maternal and Infant Nutrition Lessons Questionnaire (Opens as a PDF)

Spanish Forms

• EFNEP Entry Form (Demographics) with EFNEP Adult Questionnaire (Opens as a PDF)

• EFNEP Exit Form (Demographics) with EFNEP Adult Questionnaire and 24-hour dietary recall (Opens as a PDF)

• EFNEP Exit Recall Form (Opens as a PDF)

• Spanish Maternal and Infant Nutrition Lessons Questionnaire (Opens as PDF)

Other Forms

• English Photo Release (Opens as a Word document)

• English Physical Activity Liability Release (Opens as a Word document)

• English Research Cover Letter (Opens as a Word document)

• EFNEP Adult Group Attendance Record (Opens as a PDF document)

• Adult Class Teaching Observation Form (Opens as a Word document)

• Spanish Photo Release (Opens as a Word document)

• Spanish Physical Activity Liability Release (Opens as a Word document)

• Spanish Research Cover Letter (Opens as a Word document)