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Oregon Dairy Council Materials Survey
We value your opinion! Your feedback will guide the direction of our material development, so please add as much detail as possible when answering the questions below.
*
1.
For what health and nutrition topic(s) do you need materials/tools? (Check as many as apply)
(Required.)
Athletic Nutrition
Calcium and Bone Health
Child Nutrition
Diabetes
Disordered Eating
Food Allergies
Food Safety/Quality
Healthy Eating
Hypertension - DASH
Lactose Intolerance
Nutrition for Cardiovascular Health
Prenatal and Infant Nutrition
Other (please specify)
2.
Would you like training on any of these topics to better equip you to educate your patients?
Yes
No
Which ones?
*
3.
What kind of materials/tools would be most helpful for your patients?
(Required.)
Giveaway items (pens, stickers, magnets, etc)
Educational brochures and workbooks
Downloadable items (on various topics) to print
Webinar trainings for you, with CME credits available
PowerPoint Presentations for you to use
Other (please specify), or use this space to specify what topics you would like to see on a Webinar or Powerpoint
*
4.
How likely are you to print downloadable information pieces for your patients?
(Required.)
Very Likely - I prefer to use items I can download
Somewhat Likely - I would try it, but I also like pre-printed pieces
Not Likely - I prefer to use pre-printed pieces
Would you rather have downloadable items available in Color or Black & White?
*
5.
How often do you use ODC materials?
(Required.)
Rarely
Sometimes
Often
6.
Are there any patient resources (a tool, giveaway item, specific info, etc) you WISH you had?
7.
Are there other ways we can support you in your patient intervention/education?
8.
Any other comments?
*
9.
Tell us a little about you! Are you an Oregon Health Professional?
(Required.)
Yes
No
*
10.
Are you a:
(Required.)
Medical Doctor
Nurse Practitioner
Registered Dietitian
Registered Nurse
Physician Assistant
Other (please specify)
*
11.
What is your primary area of practice?
(Required.)
12.
If you're one of the first 25 responders from Oregon, you'll receive a reusable bag with MyPlate resources! Enter your information below (Optional).
Name:
Company:
Address:
Address 2:
City/Town:
State:
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Thank you for completing the survey! We are always open to suggestions. Please contact us at any time at info@oregondairycouncil.org or by phone at (503) 229-5033.