Skip to content
2023 Diabetes Dietetic Practice Group (DDPG) Member Survey
DEMOGRAPHICS
*
1.
Age
(Required.)
Under 25
25 - 35
36 - 45
46 - 55
56 - 59
60 - 65
Over 65
*
2.
Which of the following best describes you? (Listed in alphabetical order; select all that apply.)
(Required.)
African American or Black
American Indian or Alaska Native
Asian or Asian American
Hispanic, Latinx or Spanish Origin
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Prefer not to answer
Not listed here or prefer to self-describe:
*
3.
Gender: How do you identify?
(Required.)
Female
Male
Prefer not to answer
Prefer to self-describe:
*
4.
Highest Level of Education Attained
(Required.)
Doctoral degree, dietetics-related
Doctoral degree, other area
Master's degree dietetics-related
Master's degree other area
Bachelor's degree
Associates degree
Student
*
5.
What dietetics/nutrition/diabetes credentials do you currently hold? Please check all that apply:
(Required.)
RDN (Registered Dietitian/Nutritionist)
NDTR (Nutrition and Dietetic Technician, Registered)
CDCES (Certified Diabetes Care and Education Specialist)
BC-ADM (Board Certified-Advanced Diabetes Management)
ADCES Fellow
I am currently a student in dietetics, food, nutrition or related field
State license or certification
None of the above
Other (please specify) (e.g., CSO, CSP, NSD,)
*
6.
What is your primary area of practice?
(Required.)
Clinical: Inpatient
Clinical: Outpatient
Private Practice
Community-based practice
Industry
Education (College)
Food Service
Department Head or Director
Hospital administrator
Research
Media/Communications
Other (please specify)
*
7.
If practicing in an outpatient or private practice, what percent of your referrals are from:
(Required.)
Internal Primary Care Physicians
Family Practice
Endocrinologust
Pediatric Endocrinologist
Gerontologist
N/A
8.
Do you have an NPI number?
Yes
No
9.
Do you or does you company bill for services using your NPI+MNT or DSMT?
NPI+MNT
DSMT
N/A