Prematurity Question 12 – X5 Infants only (use %)
Low Birth Weight Question 12 – X4 Infants and Children (use %)
Overweight, Children Question 12 – A5 & A6 Children only (use %)
Anemia Question 12 – B1 Children only (use %)
Anemia Question 12 – Y1 Children only (use %)
Anemia Question 11 – B1 Prenatal (P), Breastfeeding (B) and Postpartum (N) (use %)
Anemia Question 11 – Y1 Prenatal (P), Breastfeeding (B) and Postpartum (N) (use %)
Overweight Women on WIC Question 11 – A4 Prenatal (P), Breastfeeding (B) and Postpartum (N) (use %)
Prenatal Weight Gain Question 8 Less than or equal 15 lbs (use %)
Breastfeeding Anytime
Breastfeeding Duration 6 mo
Breastfeeding Duration 1 yr
Smoking Behavior Question 7 Prenatal (P), Breastfeeding (B) and Postpartum (N) (use %)
Drinking Behavior Question 7 Prenatal (P), Breastfeeding (B) and Postpartum (N) (use %)
Enrollment in WIC, 1st trimester (use the percentage)
Prenatal Care Began in 1st trimester (use the percentage)
No-Show Rates - CR
No-Show Rates - VN
Contracted Monthly Caseload
Monthly Caseload –W
Monthly Caseload – I
Monthly Caseload – INP
Monthly Caseload – C
Monthly Caseload – # MO Count the number of months with data
Use this total from all received quarterly reports from the previous year. (Oct, Jan, Apr and July)
Lost and Stolen Total this number from Oct, Jan, Apr and July’s quarterly reports.
Void or Damaged Total this number from Oct, Jan, Apr and July’s quarterly reports.
Total Infant Food Packages
Standard Formula Food Packages Total all Enfamil, Prosobee and Lactofree products
Premature Formula Food Packages Total all Enfacare, and Neosure products
Hypoallergenic Formula Food Packages Total all Nutramigen, Alimentum and Pregestimil products
Special Formula Food Packages Total all Other and Special Formula products
Breastfeeding Food Packages Total all Cereal and Juice and Blank Package Number products