Market Research - the Betty

The Betty

Thank you so much for participating in this short survey. Your answers will allow us to determine if you're eligible to participate (and receive free product) in this study. Your participation will help others like you on Enteral or Parenteral Nutrition and Eating have a better, more fulfilling eating experience.

If you have any questions, please contact Dr. Tracy Hill at thillphd@gmail.com. I'll be happy to answer any questions you may have.

This product was developed after watching my mother-in-law Betty Reynolds on a Feeding Tube for 5 years and how she craved to taste her food!

Question Title

* 1. Are you currently on enteral or parenteral feeding?

Enteral (Feeding Tube)

Parenteral (TPN)

Other (please specify)

Question Title

* 2. Is tube feeding or tpn your only source of nutrition/food?

Yes

Question Title

* 3. How long have you or do you anticipate being on Enteral or Parenteral Eating?

Less than one year

Between 1 and 3 years

More than 3 years

More than 10 years

Other (please specify)

Question Title

* 4. How important do you think a product would be that would enhance your eating experience?

Extremely important

Very important

Not so important

Not at all important

Other (please specify)

Question Title

* 5. What is the reason for your Tube Feeding or TPN?

Failure to Thrive/Malnutrition

Unable to Swallow

Nuerologic or Neuromuscular disorder

Digestive Disorder

Disease of the Mouth or Throat

Supplemental Nutrition Due to Other Illness (But still able to chew, eat, swallow, etc.)

Other (please specify)

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* 6. Do you typically eat throughout the day or at certain times?

Throughout the day

Breakfast, lunch and dinner times

Several specific times throughout the day (3 meals plus snacks)

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* 7. How much satisfaction do you get from eating?

Extremely satisfied

Very satisfied

Not so satisfied

Not at all satisfied

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* 8. If you're not satisfied with your eating, please explain why not:

Not applicable

I cannot taste the food

I don't feel full or satiated after eating

Other (please specify)

Question Title

* 9. My mouth is often dry due to the Tube/TPN feeding.

Yes

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* 10. If you're selected to participate in the study, we will need the following information so we can send you the Betty (for free):

Name *

Address *

City/Town *

State/Province *

ZIP/Postal Code *

Email Address