2019 Recipe Submission

Basic Information

The recipe contest submission form consists of 3 sections: basic information (5 questions), recipe submission (with slots to include details for up to 14 ingredients and file upload opportunities), and the post-contest survey (6 questions). Many of the questions are optional, however, we encourage you to provide detailed answers. Winning the contest is contingent on a complete submission and detailed responses will factor into your scoring.

The submission form saves at the end of each page. Be sure to click "save and continue" to save your work and advance to the next page. You may save, exit, and complete the form in a later session.

Thank you for your submission and good luck!

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NO PURCHASE NECESSARY; void where prohibited. U.S. residents only, 18+ years old, who work for or in a health care institution. Ends 11/30/19. This is not a game of chance; winners selected based on judging criteria. Official Rules for additional details here. Sponsor: Health Care Without Harm U.S., 12355 Sunrise Valley Drive, Suite 680, Reston, VA 20191.

Question Title

* 1. Respondent information

Name *

Facility *

City/Town

State/Province

ZIP/Postal Code

Email Address *

Phone Number *

Question Title

* 2. System (if applicable)

Question Title

* 3. Chef or recipe creator (if different than respondent)

Name

Email Address

2019 Recipe Submission

Basic Information

Question Title

* 1. Respondent information

Question Title

* 2. System (if applicable)

Question Title

* 3. Chef or recipe creator (if different than respondent)

Question Title

* 4. Chef biography

Question Title

* 5. Twitter, Facebook and other social media handles (optional)