VCHA Food as Medicine Facilitator Reporting Survey

Your feedback is essential in helping us understand the impact of our curriculum on participants' health and well-being. This survey will help us identify effective strategies and areas for improvement to enhance our initiatives. Your responses will guide us in refining our efforts.

For immediate questions and/or concerns, please contact info@vcha.org.

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* 1. Session Taught?

Session 1: Healthful Foods and Balanced Meals

Session 2: Portion Control and Active Living

Session 3: Heart Health, Fat and Cholesterol

Session 4: Understanding Barriers and Goal Setting

Session 5: Carbohydrates

Session 6: Fiber, Water, and Sugar Substitutes

Session 7: Protein and Sodium

Session 8: Budget Friendly Foods and Budgeting Tips

Session 9: Strategies for Healthy Eating and Meal Planning

Session 10: Food Safety and Food Waste

Session 11: Cooking demonstration

Session 12: Program Summary, Resource Review, and Next steps for Lifelong Success

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* 2. Number of participants in your session?

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* 3. Session Date?

date

Date

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* 4. Session location/format?

In person

Virtual

Hybrid

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* 5. During your session, if you collected specific data metrics on participants (A1c, blood pressure etc.), please note the TOTAL number of participants with an A1C >9 and/or blood pressure >140/90.

# of participants with A1C > 9

# of participants with blood pressure >140/90

I collected other metric data (please add)

I did not collect participant health data during my session

VCHA Food as Medicine Facilitator Reporting Survey

Question Title

* 1. Session Taught?

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* 2. Number of participants in your session?

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* 3. Session Date?

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* 4. Session location/format?

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* 5. During your session, if you collected specific data metrics on participants (A1c, blood pressure etc.), please note the TOTAL number of participants with an A1C >9 and/or blood pressure >140/90.

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* 6. What parts of the session were the most valuable and/or engaging?

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* 7. What parts of the session could be improved?

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* 8. Please provide any additional feedback about the session