Choline Mailing - Evaluation Survey

Please take a moment to help us evaluate our educational materials. Thank You.
Name:
Email Address: (optional)
Practice Area:
Would you like to be added to the ENC mailing list? Yes
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Mailing Address:
  1. Do you discuss nutrition information with your patients?
    Yes
    No
  2. If yes, how much time do you typically spend discussing nutrition information during a typical patient visit?
    None
    1 - 2 minutes
    3 - 4 minutes
    6 - 8 minutes
    9 - 10 minutes
    more than 10 minutes
  3. The materials included in this mailing provided me with new information that I was unaware of:
    1 - Strongly Agree
    2 - Agree
    3 - Neutral
    4 - Disagree
    5 - Strongly Disagree
  4. I plan to share the information from this mailing with my patients:
    1 - Strongly Agree
    2 - Agree
    3 - Neutral
    4 - Disagree
    5 - Strongly Disagree
Research show that only 1 out of 10 women get enough cholineEating Tips for Pregnant MomsHealthcare Professionals : Download Patient Resources Here!