Thank you!

Information collected in this short 12 question survey will help change the system of care for children with pediatric feeding disorder (PFD).

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* 1. Contact Information

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* 3. Country and State

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* 4. Discipline

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* 5. Credentials

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* 6. Institution you represent and your title at that institution

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* 7. Please select the diagnoses which automatically qualify children for Early Intervention (EI) services in your state. Select all that apply.

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* 8. Are feeding issues identified by assessments currently used by your state’s EI program?

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* 9. Does your state’s EI program use feeding specific screeners to identify feeding issues?

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* 10. Does your state’s EI program require education for clinicians who assess children with feeding issues? 

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* 11. Please share any other pertinent information about your state’s EI program and how children with feeding issues are served.

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* 12. Feeding Matters works to unite providers and families dedicated to advancing the system of care for PFD. Please indicate if you would like to receive communication on opportunities to participate in actions for early identification and intervention for PFD when they become available. 

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