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Success Stories: Ready-to-feed AAF for the Dietary Management of SBS, EoE, and FPIES Webinar Survey: Presenters: Ruba Abdelhadi, Alison Cassin, Raquel Durban
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1.
Please indicate your profession
(Required.)
Registered Dietitian/Nutritionist (RD, RDN)
Registered Nurse (RN),
Nurse Practitioner (NP, APRN, ARNP)
Gastroenterologist
Nutrition and Dietetics Technician, Registered (N/DTR)
Community Nutritionist
Pediatrician
Neonatologist
Researcher and/or Educator
Other Physician
Sales/Industry
Other (please specify)
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2.
Are you a member of the New Jersey Academy of Nutrition and Dietetics?
(Required.)
Yes
No
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3.
How many attendees did you host?
If you attended/viewed alone - enter 1
If you were someone's guest - enter 0
If you hosted a group - enter the total number present, including yourself
(Required.)
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4.
Please select how often you work with SBS, EoE, and/or FPIES patients
(Required.)
Every day
A few times a week
About once a week
A few times a month
Once a month
Less than once a month
I do not work with this population
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5.
Overall, how do you rate the event?
(Required.)
Excellent
Good
Fair
Poor
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6.
Overall, how do you rate the speaker, Ruba Abdelhadi?
(Required.)
Excellent
Good
Fair
Poor
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7.
Overall, how do you rate the speaker, Alison Cassin?
(Required.)
Excellent
Good
Fair
Poor
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8.
Overall, how do you rate the speaker, Raquel Durban?
(Required.)
Excellent
Good
Fair
Poor
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9.
As a result of this program, how has your understanding of dietary management of SBS, EoE, or FPIES changed?
(Required.)
Substantially
Moderately
Minimally
Remained the same
Does not apply to my practice
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10.
As a result of knowledge you gained during this program, what changes do you plan to make to your clinical practice?
(Required.)
N/A - I'm not involved in patient care, don't see this population, or practice outside the US
I already practice this way
Substantial changes
Some changes
No changes
If you intend to make changes, please explain what they are.
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11.
How likely are you to recommend this program to colleagues in a similar role to yours?
(Required.)
Very likely
Likely
Not likely
If you chose 'Not likely', please explain why:
(We hope to improve this program to better suit your and/or your colleagues' needs.)
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12.
How likely are you to recommend the use of Neocate for SBS, EoE, and/or FPIES when it is available to you?
(Required.)
N/A - I am not involved in patient care, don't see this population, or practice outside the US
Extremely likely
Likely
Not likely
Unsure / Need more information
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13.
How do you typically like to obtain new information and/or continuing education? Check all that apply.
(Required.)
CE-eligible Webinar (1 hour)
CE-eligible Lunch Program - virtual or in-person (1 hour)
CE-eligible Dinner Program - virtual or in-person (1 hour)
CE-eligible Journal Discussion (1 hour)
CE-eligible Self study (30 minutes)
Non-CE-eligible Dinner Program
Non-CE-eligible Q-&-A Session (20 minutes)
Non-CE-eligible 1-on-1 brief session with key expert
Non-CE-eligible Journal Discussion
In-person conference
Other (please specify)
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14.
For US residents: Which of the following should we contact you with? You may choose multiple items.
(Required.)
N/A - I am not a US resident
Samples of Nutricia products
I would like a presentation for co-workers (CE eligible option available)
Nutricia Medical to discuss research and evidence
Nutricia Manager to discuss products, materials and/or services
Notification of future events
Other (please specify)
None of the above needed at this time
15.
Have you had a patient (or patients) successfully transition from a Neocate® infant formula to Neocate Splash or Junior? If so and you’d like to share the patient case to help fellow healthcare professionals and parents/caregivers please include your name and email address below so a Nutricia Medical & Scientific Affairs team member can contact you to discuss further.
Name
Email Address
