Neocate Question Title * 1. What is your first name? Question Title * 2. What is your last name? Question Title * 3. What state do you reside in? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia (DC) Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Question Title * 4. What is the age of individual in your family with food allergies? 1-5 6-10 11-15 16-20 20+ Question Title * 5. What food allergy condition does this individual have? Select all that apply Cow Milk Allergy Multiple Food Allergy or Multiple Food Protein Intolerance (MFPI) Food Protein Induced Enterocolitis Syndrome (FPIES) Eosinophilic Esophagitis (EoE) Other (please specify) Question Title * 6. Which Neocate products do you currently use? Neocate Jr. Powder (Unflavored, Chocolate or Tropical) Neocate Jr. Powder with Prebiotics (Unflavored, Vanilla or Strawberry) Neocate EO28 Splash (Tropical, Orange-Pineapple or Grape) Neocate Splash (Unflavored) Don't use Neocate anymore Other (please specify) Question Title * 7. We aim to schedule a day to connect with families to learn more about their experience with food allergies and film video testimonials throughout the day to be used on Neocate.com. Would you agree to participate? Yes No Question Title * 8. Please mark the dates you will be available (Please select all that apply.) May 16 May 17 May 18 May 19 May 20 May 21 May 22 May 23 May 24 May 25 May 26 May 27 Question Title * 9. What is the best way for us to contact you? Done