Oregon Dairy Council Materials Survey We value your opinion! Your feedback will guide the direction of our material development, so please add as much detail as possible when answering the questions below. Question Title * 1. For what health and nutrition topic(s) do you need materials/tools? (Check as many as apply) Athletic Nutrition Calcium and Bone Health Child Nutrition Diabetes Disordered Eating Food Allergies Food Safety/Quality Healthy Eating Hypertension - DASH Lactose Intolerance Nutrition for Cardiovascular Health Prenatal and Infant Nutrition Other (please specify) Question Title * 2. Would you like training on any of these topics to better equip you to educate your patients? Yes No Which ones? Question Title * 3. What kind of materials/tools would be most helpful for your patients? Giveaway items (pens, stickers, magnets, etc) Educational brochures and workbooks Downloadable items (on various topics) to print Webinar trainings for you, with CME credits available PowerPoint Presentations for you to use Other (please specify), or use this space to specify what topics you would like to see on a Webinar or Powerpoint Question Title * 4. How likely are you to print downloadable information pieces for your patients? Very Likely - I prefer to use items I can download Somewhat Likely - I would try it, but I also like pre-printed pieces Not Likely - I prefer to use pre-printed pieces Would you rather have downloadable items available in Color or Black & White? Question Title * 5. How often do you use ODC materials? Rarely Sometimes Often Question Title * 6. Are there any patient resources (a tool, giveaway item, specific info, etc) you WISH you had? Question Title * 7. Are there other ways we can support you in your patient intervention/education? Question Title * 8. Any other comments? Question Title * 9. Tell us a little about you! Are you an Oregon Health Professional? Yes No Question Title * 10. Are you a: Medical Doctor Nurse Practitioner Registered Dietitian Registered Nurse Physician Assistant Other (please specify) Question Title * 11. What is your primary area of practice? Question Title * 12. If you're one of the first 25 responders from Oregon, you'll receive a reusable bag with MyPlate resources! Enter your information below (Optional). Name: Company: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Thank you for completing the survey! We are always open to suggestions. Please contact us at any time at info@oregondairycouncil.org or by phone at (503) 229-5033. Done