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

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?

Yes

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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

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* 4. Please select how often you work with SBS, EoE, and/or FPIES patients

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?

Excellent

Good

Fair

Poor

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* 6. Overall, how do you rate the speaker, Ruba Abdelhadi?

Excellent

Good

Fair

Poor

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* 7. Overall, how do you rate the speaker, Alison Cassin?

Excellent

Good

Fair

Poor

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* 8. Overall, how do you rate the speaker, Raquel Durban?

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?

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?

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?

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.)

Question Title

* 12. How likely are you to recommend the use of Neocate for SBS, EoE, and/or FPIES when it is available to you?

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.

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.

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

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* 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

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* 1. Please indicate your profession

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* 2. Are you a member of the New Jersey Academy of Nutrition and Dietetics?

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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 0If you hosted a group - enter the total number present, including yourself

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* 4. Please select how often you work with SBS, EoE, and/or FPIES patients

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* 5. Overall, how do you rate the event?

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* 6. Overall, how do you rate the speaker, Ruba Abdelhadi?

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* 7. Overall, how do you rate the speaker, Alison Cassin?

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* 8. Overall, how do you rate the speaker, Raquel Durban?

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* 9. As a result of this program, how has your understanding of dietary management of SBS, EoE, or FPIES changed?

Question Title

* 10. As a result of knowledge you gained during this program, what changes do you plan to make to your clinical practice?

Question Title

* 11. How likely are you to recommend this program to colleagues in a similar role to yours?

Question Title

* 12. How likely are you to recommend the use of Neocate for SBS, EoE, and/or FPIES when it is available to you?

Question Title

* 13. How do you typically like to obtain new information and/or continuing education? Check all that apply.

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* 14. For US residents: Which of the following should we contact you with? You may choose multiple items.

Question Title

* 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