DOC-A English
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1.
1
. Year of birth:
Year of birth:
2
. Gender: (M/F)
Gender: (M/F)
3
. Province of practice:
Province of practice:
4
. Were you trained in Canada?
Were you trained in Canada?
Yes
No
Please indicate where you were trained
5
. Please indicate your specialty if applicable. (Please note that more than one answer can be chosen)
Please indicate your specialty if applicable. (Please note that more than one answer can be chosen)
Allergist
Pediatrician
General Practitioner
Family Physician
Emergency room physician
Resident/fellow
Other
If resident/fellow or other please indicate in what field
6
. Do you treat children (less than 18 years) or adults with food allergy?
Do you treat children (less than 18 years) or adults with food allergy?
Mainly children (more than 50% of patients)
Mainly adults (more than 50% of the patients)
Both children and adults (about 50% each)
I do not treat patients with food allergies
Other
If other please elaborate
7
. Where do you treat individuals with a food allergy? (Please note that more than one answer can be chosen)
Where do you treat individuals with a food allergy? (Please note that more than one answer can be chosen)
Hospital setting
Private Clinic
Both hospital setting and private clinic
Other
If other please elaborate
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