Nutritional Services at Certified Duchenne Care Centers

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* 1. Overall, how would you rate nutrition education/care/counseling in your clinic? Would you please provide an example of why you believe this options fits your multidisciplinary clinic?

Very good

Good

Fair

Poor

Please give an example of why you chose the answer above.

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* 2. What barriers do you face regarding providing nutrition education/care/counseling with your patients?

Lack of Time

Billing/Coding

Lack of Education/Knowledge on Topic

Poor collaboration with nutrition professionals/referral network

Poor application of nutrition to clinical practice

Feel hypocritical discussing this topic

Please provide additional comments.

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* 3. Please rank in order of importance to you, 1 being your top priority, the strategies or action items that would make you feel more confident in providing nutrition education/care/counseling to your patients?

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* 4. What changes do you feel would most improve the multidisciplinary care of patients with Duchenne and Becker Muscular Dystrophy?

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* 5. Does your team have a dietician directly assigned to your clinic?

Yes

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* 6. On a scale from 1-5, what is your overall satisfaction with each of the following?

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* 7. When do your patients see a dietician, check all that apply.

Onset of steroid use

When patient falls above or below normal growth curve <5% or >85%

When irregular labs, associated with nutritional deficiencies, occur

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* 8. Are you willing to discuss with Dr. Kindann Fawcett, a Health Science Innovation Fellow, how your clinic/practice handles nutrition education/care/counseling and nutritional related health issues?

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* 9. How would you like to be contacted to set up a brief 15-20 minute discussion?

Please leave contact Information

Nutritional Services at Certified Duchenne Care Centers

Question Title

* 1. Overall, how would you rate nutrition education/care/counseling in your clinic? Would you please provide an example of why you believe this options fits your multidisciplinary clinic?

Question Title

* 2. What barriers do you face regarding providing nutrition education/care/counseling with your patients?

Question Title

* 3. Please rank in order of importance to you, 1 being your top priority, the strategies or action items that would make you feel more confident in providing nutrition education/care/counseling to your patients?

Question Title

* 4. What changes do you feel would most improve the multidisciplinary care of patients with Duchenne and Becker Muscular Dystrophy?

Question Title

* 5. Does your ﻿﻿team have a dietician directly assigned to your clinic? ﻿﻿

Question Title

* 6. On a scale from 1-5, what is your overall satisfaction with each of the following?

Question Title

* 7. When do your patients see a dietician, check all that apply.

Question Title

* 8. Are you willing to discuss with Dr. Kindann Fawcett, a Health Science Innovation Fellow, how your clinic/practice handles nutrition education/care/counseling and nutritional related health issues?

Question Title

* 9. How would you like to be contacted to set up a brief 15-20 minute discussion?

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* 10. Do you have any other comments, questions, or concerns?

* 5. Does your team have a dietician directly assigned to your clinic?