Nutrition Services at JFKFFC
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1. Default Section
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1
. Please select your age.
Please select your age.
20-29
30-39
40-49
50-59
60-69
70 or older
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2
. Please select your gender.
Please select your gender.
Male
Female
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3
. What type of nutrition consultation are you most interested in?
What type of nutrition consultation are you most interested in?
One-on-one individual consultation
Group setting
Both
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4
. If you were to attend a one-on-one nutrition consultation, how long would you like the visit to last?
If you were to attend a one-on-one nutrition consultation, how long would you like the visit to last?
30 minutes
45 minutes
60 minutes
75 minutes
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5
. How frequently would you like to be seen by your Registered Dietitian/Nutritionist?
How frequently would you like to be seen by your Registered Dietitian/Nutritionist?
Once a week
Once every two weeks
Once a month
Once every 2 months
Once every 3 months
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6
. How much would you pay for a 30 minute nutrition visit by a Registered Dietitian/Nutritionist?
How much would you pay for a 30 minute nutrition visit by a Registered Dietitian/Nutritionist?
$40
$45
$50
$55
Other (please specify)
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7
. How much would you pay for a 45 minute nutrition visit by a Registered Dietitian/Nutritionist?
How much would you pay for a 45 minute nutrition visit by a Registered Dietitian/Nutritionist?
$65
$75
$85
$95
Other (please specify)
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8
. How much would you pay for a 60 minute nutrition visit by a Registered Dietitian/Nutritionist?
How much would you pay for a 60 minute nutrition visit by a Registered Dietitian/Nutritionist?
$65
$80
$100
$120
Other (please specify)
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9
. Would you be interested in a nutrition telephone consult (at a fee?)
Would you be interested in a nutrition telephone consult (at a fee?)
Yes
No
Maybe
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10
. What nutrition topics interest you the most? (Check all that apply)
What nutrition topics interest you the most? (Check all that apply)
Weight Loss
Diabetes
High Cholesterol
HTN (High blood pressure)
Food allergies
Celiac Disease
Other (please specify)
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