JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Picky Eating for Autism Masterclass for Practitioners Feedback Form
Thanks for completing the
Picky Eating for Autism
Masterclass for Practitioners!
Upon completion of this form, you will receive a coupon for 1 additional free month in the Nourishing Autism Collective.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Please share what your profession is:
*
Registered Dietitain
Speech Therapist
Occupational Therapist
Medical Doctor
Other:
Do you already work with children on the autism spectrum?
*
Yes
No, but I hope to soon
No, I wanted to learn more
On a scale of 1-5 how closely did this masterclass meet your expectations?
*
Could have been better
1
2
3
4
5
It exceeded my expectations!
Please let me know if you felt anything was missing, or if you felt it contained the right information.
*
Your answer
Would you recommend this masterclass to a colleague?
*
Yes
Maybe
No
Would you be interested in joining an online course for practitioners about nutrition for children with autism?
Yes
Maybe
No
Clear selection
[Optional but appreciated] Please share a testimonial from your experience in the masterclass:
Your answer
Your Name
*
Your answer
If we share your testimonial, how do you want your name to appear?
*
First Name + Last Initial
First Name Only
Anonymous
Is there any other feedback you have about the masterclass for the Autism Dietitian Team? Your feedback is so helpful!
*
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Autism Dietitian.
Report Abuse
Forms