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Dietitian Onboarding Survey
Name
Name
First Name
Last Name
Accreditations
Food, Nutrition, Diet, Meal Planning, Health Apps you recommend to patients
Grade the IMPACT each of the following has on your practice
Extreme
Very High
High
Moderate
Low
None
Complex comorbidities
Culinary skills
Cultural complexity
Education
Food insecurity
Meal planning
Misinformation
Noncompliance
Shopping
Unrealistic expectatinos
Grade the EFFECT each of the following has on your practice
Extreme
Very High
High
Moderate
Low
None
Care team collaboration
Complex comorbidities
Excessive overtime
Inadequate support
Insufficient comp
Staying current on research
Stress
Workforce shortages
What products or services do you recommend
Are you interested in participating in our Dietitian Counsel?
Grade the IMPORTANCE of various features you would like to see in a Food-as-Medicine App
Highest
High
Medium
Low
Not Needed
Capture entire grocery purchase
Grade every product for medical conditions
Grade every product for wellness goals
Exclude ingredient
Require ingredient
Map biometrics against grocery purchases
Show contraindications, depletions and/or adjuvents
Import EMR
Export Data
Recommended products vs chosen products
Compliance mapping
Patient referral
Dashboard: macronutrients, sugars, salts, fats, proteins
Dashboard: micronutrients, vitamins, minerals, supplements
Rx record/usage
Biomarkers, labs, measurements
Connected Apps (fitbit, myfitnesspal, etc
Connected Grocers (any size, loyalty & rebates)
Rebates & coupons for recommended products (only)
How likely are you to recommend us to a friend or colleague?
0 - Not at all
10 - Extremely likely
Please CONTACT me about