TxNEMS-WIC STORE AUDIT TOOL

Rater ID: | Store ID: |- - - | - | Date: M | M/ D | D/ Y | Y.

Start Time: | : | am/pmStore Personnel Authorizing Audit: ______End Time: | : | am/pm

Measure #1-A: PRODUCE – FRESH FRUITS

Price: Record the price of the least expensive brand (LEB), based on price perpound. If items are priced per piece, weigh 3 pieces and calculate average weight per unit (total weight ÷ 3 = average weight per piece). Then calculate price per pound (price per piece ÷ average weight per piece = price per pound). Exception: For watermelon and cantaloupe, weigh only one piece to calculate price per pound). See training guide for further explanation.

Quality:Check the “Acceptable Quality” box if more than 50% of the produce item you are rating is found to be of acceptable quality, using the following criteria (also refer to photos in training manual):

Acceptable:good color, fresh looking, firm, and clean.

Unacceptable:bruised, old looking, mushy, over-ripe, dark sunken spots in irregular patches, cracked or

broken surfaces, signs of shriveling, mold, or excessive softening.

WIC
Label / Produce Item / Total # of Varieties / Not
Available / Lowest Price
(write “N/A”
if price not available) / Acceptable
Quality / Display Space
Shelf Width(round up to
nearest half-inch) / Total LEAVE BLANK / Visibility
 / 1. Apples /  o/s / $ / lb. /  / LMH
 / 2. Avocados /  o/s / $ / lb. /  / LMH
 / 3. Bananas /  o/s / $ / lb. /  / LMH
 / 4. Cantaloupe /  o/s / $ / lb. /  / LMH
 / 5. Grapes /  o/s / $ / lb. /  / LMH
 / 6. Oranges /  o/s / $ / lb. /  / LMH
 / 7. Peaches /  o/s / $ / lb. /  / LMH
 / 8. Pears /  o/s / $ / lb. /  / LMH
 / 9. Plantains /  o/s / $ / lb. /  / LMH
 / 10. Strawberries /  o/s / $ / lb. /  / LMH
 / 11. Watermelon /  o/s / $ / lb. /  / LMH
Total #
of Varieties / Total all varieties of fruits and write number in box to the left.
(e.g., 5 varieties apples + 2 varieties avocados + 1 variety banana = 8)

Please use the space below for notations & calculations for produce priced by “each” instead of weight:

(Instructions: Fill in the price each and theaverage weight in pounds –

Example: Price each. $.50; Avg.Wt. .25.; Then calculate Price/Lb. – Example: .50/.25 = $2.00); Notate LEB price above):

Item (e.g., apple) Price Each Avg. Wt (lbs) Price/Lb.
______
______
______
______
______
______
______
______
______/ Item (e.g., apple) Price Each Avg. Wt (lbs) Price/Lb.
______
______
______
______
______
______
______
______
______

Measure #1-B: PRODUCE – FRESH VEGETABLES

Price: Record the price of the least expensive brand (LEB),based on price perpound. If items are priced per piece, weigh 3 pieces and calculate average weight per unit (total weight ÷ 3 = average weight per piece). Then calculate price per pound (price per piece ÷ average weight per piece = price per pound). Note: For lettuce and salad greens, do not include pre-packaged ready-to-eat varieties.

Quality:Check the “Acceptable Quality” box if more than 50% of the produce item you are rating is found to be of acceptable quality, using the following criteria (also refer to photos in training manual):

Acceptable:good color, fresh looking, firm, and clean.

Unacceptable:bruised, old looking, mushy, dry, over-ripe, dark sunken spots in irregular patches, cracked or

broken surfaces, signs of shriveling, mold, or excessive softening.

WIC
Label / Produce Item / Total # of Varieties / Not
Available / Lowest Price
(write “N/A”
if price not available) / Acceptable
Quality / Display Space
Shelf Width(round up to
nearest half-inch) / Total LEAVE BLANK / Visibility
 / 1. Broccoli /  o/s / $ / lb. /  / LMH
 / 2. Cauliflower /  o/s / $ / lb. /  / LMH
 / 3. Carrots (full-size only) /  o/s / $ / lb. /  / LMH
 / 4. Corn (white &
yellow) /  o/s / $ / lb. /  / LMH
 / 5. Green Beans /  o/s / $ / lb. /  / LMH
 / 6. Lettuce (iceburg, romaine, red leaf, green leaf) /  o/s / $ / lb. /  / LMH
 / 7. Greens (spinach, kale; turnip, mustard & collard greens) /  o/s / $ / lb. /  / LMH
 / 8. Cabbage (green & purple) /  o/s / $ / lb. /  / LMH
 / 9. Potatoes (all but sweet) /  o/s / $ / lb. /  / LMH
 / 10. Sweet Potatoes/Yams /  o/s / $ / lb. /  / LMH
 / 11. Tomatoes /  o/s / $ / lb. /  / LMH
 / 12. Summer Squash (yellow) /  o/s / $ / lb. /  / LMH
 / 13. Zucchini /  o/s / $ / lb. /  / LMH
Total # of
Varieties / Total all varieties of vegetables and write number in box to the left.
(e.g., 3 varieties lettuce + 2 varieties greens + 1 variety oftomato = 6)

Please use the space below for notations & calculations for produce priced by “each” instead of weight:

(Instructions: Fill in the price each and the average weight in pounds –

Example: Price each. $.50; Avg.Wt. .25.; Then calculate Price/Lb. – Example: .50/.25 = $2.00); Notate LEB price above):

Item (e.g., broccoli) Price Each Avg. Wt (lbs) Price/Lb.
______
______
______
______
______
______/ Item (e.g., broccoli) Price Each Avg. Wt (lbs) Price/Lb.
______
______
______
______
______
______

Measure #2-A: GRAINS (CEREAL)

Lowest Price: Record the lowest priceper unit available, including generic and store brands.

Note: For WIC items, there is only one size. Close substitutes are not acceptable. For Non-WIC items, note the size with the lowest price.

WIC
Label
(& price of cereal nearest the label) / Cereal Item / Not
Available / Lowest Price
per Unit
(write “N/A” if price not available) / Display Space
Shelf Width(round up to
nearest half-inch) / Total LEAVE BLANK / Visibility
$____ / 1. Plain corn flakes, 18 oz. box /  o/s / $ / ea. / LMH
$____ / 2. Plain corn flakes, 36 oz.box /  o/s / $ / ea. / LMH
$____ / 3. Puffed rice (e.g., “Rice Krispies”), 18 oz.box /  o/s / $ / ea. / LMH
$____ / 4. Puffed rice (e.g., “Rice Krispies”), 36 oz.bag /  o/s / $ / ea. / LMH
$____ / 5. Plain toasted oats (e.g., “Cheerios”), 18 oz.box /  o/s / $ / ea. / LMH
$____ / 6. Plain toasted oats (e.g., “Cheerios”), 36 oz.box /  o/s / $ / ea. / LMH
$____ / 7. Plain bran flakes, 18 oz. box /  o/s / $ / ea. / LMH
$____ / 8. Bran flakes with raisins, 18 oz. box /  o/s / $ / ea. / LMH
$____ / 9. “Kix” or generic, 18 oz.box /  o/s / $ / ea. / LMH
$____ / 10. “Kix” or generic, 36 oz.box /  o/s / $ / ea. / LMH
$____ / 11. “Honey Bunches of Oats” or generic, 18 oz.box /  o/s / $ / ea. / LMH
$____ / 12. “Honey Bunches of Oats” or generic, 36 oz.bag /  o/s / $ / ea. / LMH
$____ / 13. “Shredded Wheat” or generic, 18 oz. box – non-frosted /  o/s / $ / ea. / LMH
$____ / 14. “Shredded Wheat” or generic, 36 oz. bag – non-frosted /  o/s / $ / ea. / LMH
$____ / 15. Oatmeal (dry oats), 18 oz. pkg. /  o/s / $ / ea. / LMH
Non-WIC Item / 16. Frosted corn flakes, 16-20 oz. range box /  o/s / $ / oz. / LMH
Non-WIC Item / 17. Sugared fruit rings (e.g., “Fruit Loops”), 16-20 oz. range box /  o/s / $ / oz. / LMH
Non-WIC Item / 18. Marshmallow cereal (e.g., “Lucky Charms”) 16-20 oz. range box /  o/s / $ / oz. / LMH
Non-WIC Item / 19. Chocolate puffed cereal (e.g., “Coco Puffs”), 16-20 oz. range box /  o/s / $ / oz. / LMH

Notations for Non-WIC cereals: (Instructions: Fill in the total package price and the size of the package in ounces –

Example: Price pkg. $2.89 Size Pkg. 17.4; Then calculate Price/oz – Example: $2.89/17.4 = $.166); Notate LEB price above):

16. Frosted corn flakes, 16-20 oz. range
Price Pkg. Size Pkg. (oz) Price/oz
______
______
______/ 17. Sugared fruit rings (e.g., “Fruit Loops”), 16-20 oz. range
Price Pkg. Size Pkg. (oz) Price/oz
______
______
______/ 18. Marshmallow cereal (e.g., “Lucky Charms”) 16-20 oz. range
Price Pkg. Size Pkg. (oz) Price/oz
______
______
______/ 19. Chocolate puffed cereal (e.g., “Coco Puffs”), 16-20 oz. range
Price Pkg. Size Pkg. (oz) Price/oz
______
______
______

Measure #2-B:GRAINS - BREAD

Note: To determine if whole grain, count only the items with one of these phrases on the package: “100% whole grain,” “whole grain,” “100% whole wheat,” or “whole wheat.” (Exception: Corn tortillas). To verify if an item qualifies, check the ingredient list: If the first item includes the word “enriched,” it is NOT a whole grain product.

Lowest Price per ounce:Use boxes at bottom half of this sheet to calculate price per ounce.

WIC
Label / Bread Item / Not
Available / Lowest Price
Per ounce
(write “N/A” if price not available) / Display Space
Shelf Width(round up to
nearest half-inch) / Total LEAVE BLANK / Visibility
 / 1. Whole grain/Whole wheat Bread, 16-24 oz. range pkg. /  o/s / $ / oz. / LMH
 / 2. Whole grain/Whole wheat Hamburger Buns, 15-20 oz. range pkg. /  o/s / $ / oz. / LMH
 / 3. Whole grain/Whole wheat Hotdog Buns, 11-14oz. range pkg. /  o/s / $ / oz. / LMH
 / 4. Whole grain/Whole wheat Tortillas, 14-20 oz. range pkg /  o/s / $ / oz. / LMH
 / 5. Corn tortillas, yellow,14-20 oz. range pkg /  o/s / $ / oz. / LMH
 / 6. Corn tortillas, white,14-20 oz. range pkg /  o/s / $ / oz. / LMH

Notations (Instructions: Fill in the total package price and the size of the package in ounces – Example: Price pkg. $2.89 Size Pkg. 17.4 oz.; Then calculate price per ounce. Example: $2.89/17.4 = $.166; Note LEB price above):

#1. Whole grain/Whole wheat Bread, 16-24 oz. range pkg.
Price Pkg. Size Pkg. Price/oz
______
______
______
______
______
______
______
______
______/ #2. Whole grain/Whole wheat Hamburger Buns, 15-20 oz. range pkg.
Price Pkg. Size Pkg. Price/oz
______
______
______
______
______
______
______
______
______/ #3. Whole grain/Whole wheat Hotdog Buns, 11-14oz. range pkg.
Price Pkg. Size Pkg. Price/oz
______
______
______
______
______
______
______
______
______
#4. Whole grain/Whole wheat Tortillas, 14-20 oz. range pkg.
Price Pkg. Size Pkg. Price/oz
______
______
______
______
______
______
______
______
______/ #5. Corn tortillas, yellow,14-20 oz. range pkg.
Price Pkg. Size Pkg. Price/oz
______
______
______
______
______
______
______
______
______/ #6.Corn tortillas white,14-20 oz. range pkg.
Price Pkg. Size Pkg. Price/oz
______
______
______
______
______
______
______
______
______

Measure #2-C:GRAINS - DRY GRAINS

Important Note: Only assess bagged rice, not boxed.

WIC
Label / Dry Grain Item / Not
Available / Lowest Price
Per unit
(write “N/A” if price not available) / Display Space
Shelf Width(round up to nearest half-inch) / Total LEAVE BLANK / Visibility
 / 1. Brown rice, 16 oz. plastic bag pkg. (no boxes allowed) /  o/s / $ / pkg. / LMH

Comments and/or calculations: ______

Measure #2-D:GRAINS - DRY BEANS

WIC
Label / Dry Bean Item / Not
Available / Lowest Price
Per unit
(write “N/A” if price not available) / Display Space
Shelf Width (round up to
nearest half-inch)
LEB ONLY / Total LEAVE BLANK / Visibility LEB ONLY
 / 1. Pinto Beans, 1 lb. pkg. /  o/s / $ / pkg. / LMH
 / 2. Black Beans, 1 lb. pkg. /  o/s / $ / pkg. / LMH
 / 3. Navy Beans, 1 lb. pkg. /  o/s / $ / pkg. / LMH
 / 4. Split Peas, 1 lb. pkg. /  o/s / $ / pkg. / LMH
 / 5. Lentils, 1 lb. pkg. /  o/s / $ / pkg. / LMH

Comments and/or calculations: ______

Measure #3-A: FROZEN PRODUCTS – FROZEN FRUIT

Important Note: Do not include items that have added sugar or sauces.

WIC
Label / Frozen Fruit Item / Not
Available / Lowest Price
Per unit
(write “N/A” if price not available) / Display Space
Shelf Width(round up to
nearest half-inch) / Total LEAVE BLANK / Visibility
 / 1. Blueberries, 16 oz. pkg. /  o/s / $ / pkg. / LMH
 / 2. Peaches, 16 oz. pkg. /  o/s / $ / pkg. / LMH
 / 3. Strawberries, 16 oz. pkg. /  o/s / $ / pkg. / LMH
 / 4. Mixed Fruits (any comb-
ination of 2 or more fruits
packaged together)16 oz. pkg. /  o/s / $ / pkg. / LMH

Comments and/or calculations: ______

Measure #3-B: FROZEN PRODUCTS – FROZEN VEGETABLES

Important Note: Do not include items that sauces (e.g., butter or cheese).

WIC
Label / Frozen Vegetable Item / Not
Available / Lowest Price
Per unit
(write “N/A” if price not available) / Display Space
Shelf Width(round up to
nearest half-inch) / Total LEAVE BLANK / Visibility
 / 1. Broccoli, 16 oz. pkg. /  o/s / $ / pkg. / LMH
 / 2. Carrots, 16 oz. pkg. /  o/s / $ / pkg. / LMH
 / 3. Corn, kernel,16 oz. pkg.
(white, yellow & mixed) /  o/s / $ / pkg. / LMH
 / 4. Green Beans, 16 oz. pkg. /  o/s / $ / pkg. / LMH
 / 5. Peas, 16 oz. pkg. /  o/s / $ / pkg. / LMH
 / 6. Spinach, 16 oz. pkg. /  o/s / $ / pkg. / LMH
 / 7. Mixed Vegetables (any comb-
ination of 2 or more vegetables
packaged together), 16 oz. pkg. /  o/s / $ / pkg. / LMH

Measure #3-C: FROZEN PRODUCTS – FROZEN 100% FRUIT JUICES

Note: Do not include products with added calcium. For #4 & #5, please circle the size (either 11.5 or 12 oz) of the product you are rating.

WIC
Label / Frozen 100% Juice Item / Not
Available / Lowest Price
Per unit
(write “N/A” if price not available) / Display Space
Shelf Width(round up to
nearest half-inch)
LEB ONLY / Total LEAVE BLANK / Visibility LEB ONLY
 / 1. Apple, 12 oz. concentrate /  o/s / $ / ea. / LMH
 / 2. Grapefruit, 12 oz. concentrate
(white & pink) /  o/s / $ / ea. / LMH
 / 3. Orange, 12 oz. concentrate /  o/s / $ / ea. / LMH
 / 4. Purple Grape, 11.5 and12 oz.
concentrate /  o/s / $ / ea. / LMH
 / 5. White Grape, 11.5 and12 oz.
concentrate /  o/s / $ / ea. / LMH

Measure #4: FRESH FRUIT & VEGETABLE JUICES (Fluid; Non-Refrigerated*)

WIC
Label / Fresh Juice Item
(Circle which size) / Not
Available / Lowest Price
Per unit
(write “N/A” if price not available) / Display Space
Shelf Width(round up to
nearest half-inch)
LEB ONLY / Total LEAVE BLANK / VisibilityLEB ONLY
 / 1. Orange Juice, 46 &48 oz. can /  o/s / $ / ea. / LMH
 / 2. Apple Juice, 46 & 48 oz. can /  o/s / $ / ea. / LMH
 / 3. Grapefruit Juice, 46 48 oz. can /  o/s / $ / ea. / LMH
 / 4. Pineapple Juice, 46 48 oz. can /  o/s / $ / ea. / LMH
 / 5. Orange Pineapple Juice, 46 48 oz. can /  o/s / $ / ea. / LMH
 / 6. Pineapple Orange Juice, 46 48 oz. can /  o/s / $ / ea. / LMH
 / 7. Orange Mango Juice, 46 48 oz. can /  o/s / $ / ea. / LMH
 / 8. Pineapple Mango Juice, 46 48 oz. can /  o/s / $ / ea. / LMH
 / 9. Vegetable Juice,46 48 oz. can /  o/s / $ / ea. / LMH
Note: The Non-WIC Items 11-14 are refrigerated. Record information for LEB ONLY, just as with the above items.
Non-WIC Item / 10. Hawaiian
Punch, 128 oz bottle (1 gal) /  o/s / $ / ea. / LMH
Non-WIC Item / 11. Sunny D, 64 oz bottle (.5 gal) /  o/s / $ / ea. / LMH
Non-WIC Item / 12. Sunny D, 128 oz bottle (1 gal) /  o/s / $ / ea. / LMH
Non-WIC Item / 13. Lemonade, 1.75 L /  o/s / $ / ea. / LMH
Non-WIC Item / 14. Lemonade, 1.89 L /  o/s / $ / ea. / LMH

Note: This section is for non-refrigerated juices and juice drinks only (*with the exception of Items 11 - 14).

Measure #5: DAIRY (MILK)

Sell-By/Expiration Dates: Note the oldest sell-by/expiration date (mo/day/year) in the front row of the item you are rating.

Total Units Expired: If you find expired containers, record the number of units expired and the total units present in the front row (e.g., 2/5). Note:If there are no expired units, you do not need to record anything in this column.

WIC
Label / Milk Item / Not
Available / Lowest Price
Per unit
(write “N/A” if price not available) / Oldest
Sell-By/
Expiration
Date
(mo/day/yr) / Total UnitsExpired / Total Units (front row) / Display Space
Shelf Width(round up to nearest half-inch)
LEB ONLY / Total LEAVE BLANK / VisibilityLEB ONLY
 / 1. Whole Milk, Gallon /  o/s / $ / ea. / / / / / / L M H
 / 2. Whole Milk, Half Gallon /  o/s / $ / ea. / / / / / / L M H
 / 3. Reduced Fat Milk (2%), Gallon /  o/s / $ / ea. / / / / / / L M H
 / 4. Reduced Fat Milk (2%), Half Gallon /  o/s / $ / ea. / / / / / / L M H
 / 5. Low-Fat Milk (1%), Gallon /  o/s / $ / ea. / / / / / / L M H
 / 6. Low-Fat Milk (1%), Half Gallon /  o/s / $ / ea. / / / / / / L M H
 / 7. Fat-Free Milk (Skim), Gallon /  o/s / $ / ea. / / / / / / L M H
 / 8. Fat-Free Milk (Skim), Half Gallon /  o/s / $ / ea. / / / / / / L M H
 / 9. Lactose-Free Milk, Whole, Half Gallon /  o/s / $ / ea. / / / / / / L M H
 / 10. Lactose-Free Milk, Reduced Fat (2%), Half Gallon /  o/s / $ / ea. / / / / / / L M H
 / 11. Lactose-Free Milk, Low-Fat (1%), Half Gallon /  o/s / $ / ea. / / / / / / L M H
 / 12. Lactose-Free Milk, Fat Free (Skim), Half Gallon /  o/s / $ / ea. / / / / / / L M H
 / 13. Buttermilk, Half Gallon /  o/s / $ / ea. / / / / / / L M H

*** PLEASE RECORD THE END TIME ON THE FIRST PAGE. ***

*PLEASE REFER TO COMPLETION CHECKLIST IN TRAINING GUIDE BEFORE LEAVING STORE*

Thank you very much for completing the survey!

We greatly appreciate your hard work and valuable contribution.