Nutritional Supplement Program Satisfaction Questionnaire 2019
Decrease in Stress and Frustration
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Question - Required -
The nutritional supplement program assists with reducing the amount of financial strain.
Completely Satisfied
Satisfied
Dissatisfied
Completely Dissatisfied
*
Question - Required -
I understand the importance of maintaining body weight and avoiding malnutrition in the ALS diagnosis.
Completely Satisfied
Satisfied
Dissatisfied
Completely Dissatisfied
Appropriate Nutritional Supplementation
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Question - Required -
The nutritional supplement program provided by ALSA is a high quality service.
Completely Satisfied
Satisfied
Dissatisfied
Completely Dissatisfied
*
Question - Required -
The nutritional supplement program has assisted with maintaining my current body weight.
Completely Satisfied
Satisfied
Dissatisfied
Completely Dissatisfied
Quality of Life
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Question - Required -
The nutritional supplement program has increased my ability to live a higher quality of life.
Completely Satisfied
Satisfied
Dissatisfied
Completely Dissatisfied
Question - Not Required -
If you answered Dissatisfied or Completely Dissatisfied to any of the above, please tell us how we can make our nutrition services better:
Question - Not Required -
Any additional comments:
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