Exit this survey NEDSP 2012 Feedback Form College and Program Information Question Title * 1. Please provide the following information: Name: * College: * Position Title * City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Country: Email Address: * Phone Number: Question Title * 2. Did your college host an in-person NEDSP screening event? Yes No Question Title * 3. Does your college utilize online screening for eating disorders? Yes, we use CollegeResponse Yes, we use another program No Not Sure Question Title * 4. Participants: Please estimate total number of participants: Question Title * 5. Please estimate the total number of completed screenings (at program): Question Title * 6. Do you consider your NEDSP in-person screening program a success? Yes No Other (please specify) Next