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The American Academy of Pediatrics (AAP) and Food Research & Action Center (FRAC) are updating existing materials focused on identifying and addressing food insecurity among pediatric patients. To guide these revisions, we are seeking your input on current practices and needs related to food insecurity.

This survey is completely anonymous unless you choose otherwise. Your participation is voluntary. Completing the survey indicates that you agree to participate.

The survey should take approximately 7-10 minutes to complete. For questions or technical difficulties, please contact FRAC’s Heather Hartline-Grafton at hhartline-grafton@frac.org.
Background

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* 1. Which of the following best describes your current profession? (Please check one.)

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* 2. Please indicate your primary employment site setting, that is, the setting where you spend most of your time. (Please check one.)

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* 3. Please describe the community in which your position is located? (Please check one.)

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* 4. Approximately what percentage of your patients are covered by public insurance (e.g., Medicaid, SCHIP)? If you don't know, please put N/A.

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* 5. How long have you been in practice (excluding residency, fellowship, or internships)? (Please check one.)

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* 6. What is your gender? (Please check one.)

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* 7. With what racial or ethnic group(s) do you identify? (Please check all that apply.)

Attitudes and Skills Related to Food Insecurity

In this section, we are interested in learning if you agree or disagree with the following statements.

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* 8. Food insecurity contributes to poor health outcomes among children. (Please check one.)

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* 9. It is important to screen for food insecurity in a clinical pediatric setting. (Please check one.)

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* 10. I feel prepared to identify (e.g., screen for) food insecurity in my setting. (Please check one.)

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* 11. If a patient is identified as food insecure, I feel prepared to address this need in my setting. (Please check one.)

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* 12. Patients who are food insecure should be connected to the Supplemental Nutrition Assistance Program (SNAP) to see if they are eligible for the program. (Please check one.)

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* 13. Patients who are food insecure should be connected to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) to see if they are eligible for the program. (Please check one.)

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* 14. Patients who are food insecure should be connected to emergency food resources at my medical practice/hospital. (Please check one.)

Current Food Insecurity Screening Practices

The following section will help us better understand your current practices or challenges in screening for food insecurity.

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* 15. How familiar are you with the AAP policy statement, Promoting Food Security for All Children? (Please check one.)

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* 16. Are patients in your practice/hospital screened for food insecurity? This could include, but is not limited to, questions about having enough money to buy food or worrying about running out of food. (Please check one.)

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