You must have JavaScript enabled to use this form. Your Information Job Title/Role Your Feedback In general, what percentage of your patients have you asked about their food situation – whether or not they are eating enough, feel that they have enough money to eat properly, or worry about where their food will come from? Nearly all More than half About half Less than half Never The background information about food security definitions and prevalence rates was helpful. Strongly disagree Disagree Agree Strongly agree I feel prepared to identify patients who may be at risk for food insecurity. Strongly disagree Disagree Agree Strongly agree The module information is applicable to my practice. Strongly disagree Disagree Agree Strongly agree I feel comfortable speaking to my patients about their household’s food intake and access. Strongly disagree Disagree Agree Strongly agree I feel confident that I have the resources to refer at-risk patients to people and/or organizations that can provide assistance. Strongly disagree Disagree Agree Strongly agree What is one thing you found useful about this module? What is one thing you would change about this module? Would you recommend this training to your colleagues? If yes, colleagues in which department(s) and field(s)? Additional Materials and Follow Up What type(s) of additional materials and/or follow up would most help you incorporate food security screening into your practice? One-page summary of the module for providers (risk factors, screening guide, general resources) One-page information sheet encouraging patients to speak with providers about food access/intake Periodic e-mails from IHCD reinforcing themes, strategies and resources discussed today Periodic text messages None of the above Other… Enter other… Do you wish to receive e-mails from IHCD reinforcing themes, strategies and resources discussed? If yes, enter your email address below. Do you wish to receive text messages from IHCD? If yes, enter your mobile number below.