Practitioner Survey

We seek to connect patients with medical practitioners who recognize the utility of nutrition as an effective tool in helping patients prevent or overcome chronic disease.

To help us better understand your practice philosophy and your availability to accept motivated patients willing to improve their nutrition and their health under your guidance, please answer the following few questions:

Agree Disagree
The only therapy proven to be effective in treatment of obesity is a diet based upon portion control.
Atherosclerosis of the coronary arteries can be halted and in many cases reversed without the use of statins through proper diet, stress reduction and exercise.
Diet plays, at best, a minor role in effective treatment of essential hypertension.
Research has confirmed the significant benefit to longevity of coronary artery stents.
The most effective treatment for preventing complications of Type 2 diabetes mellitus is a medical regimen based upon oral medications and injectable insulin.
The incidence of colon cancer is heavily affected by dietary patterns.
The most health-promoting diet for most adults has at least 1-2 servings of meat, eggs or dairy products per day.
There is strong evidence for the health benefits of taking a daily multivitamin/mineral supplement.
I feel confident in making dietary recommendations to my patients.
Yes No
I have recommended or considered recommending a "Paleo-style" diet, based upon meats and vegetables to my patients with chronic diseases, such as obesity, diabetes, hypertension and atherosclerosis.
I have recommended or considered recommending a whole-food, plant-based diet to my patients with chronic diseases, such as obesity, diabetes, hypertension and atherosclerosis.

Name (First/Last): /

My medical credential is (check all that apply):

MD – Medical Doctor
DO – Doctor of Osteopathy
ND – Naturopathic Doctor
DC – Doctor of Chiropractic
DDS – Doctor of Dental Surgery
RN – Registered Nurse
LPN – Licensed Practical Nurse
RD – Registered Dietician
Coach/Trainer
Other


My practice specialty or area of interest is (check all that apply):

Allergy & Immunology
Cardiovascular Disease
Child & Adolescent Psychiatry
Dermatology
Emergency Medicine
Endocrinology, Diabetes & Metabolism
Family Medicine/General Practice
Gastroenterology
Internal Medicine
Nephrology
Neurology
Obstetrics & Gynecology
Ophthalmology
Orthopedic Surgery
Pediatrics
Vascular Surgery
Physical Medicine & Rehabilitation
Preventive Medicine
Psychiatry
Urology
Vascular Surgery
Other


I can accept more patients into my practice: Yes No  
I accept patients with Medicare coverage: Yes No  

New patients must be a member of this HMO:

Institution Name:
Address:
City, State Zip: ,   

Website:

Phone number for appointments:



Second location
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Third location
Institution Name:
Address:
City, State Zip: ,   

Website:

Phone number for appointments:

Email address:
NOTE: This email address will NOT be made public on our web site, but is essential for us to communicate with you.