Name: Greaux Healthy
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Complete this survey to access your toolkit download.

Provider Demographic Information

What is your name?

What is your email address?

Please confirm your email address.

Where do you work?

Country

Clinic Name

Clinic Zip Code

Would you be willing to provide additional information about you and your practice?

Yes

You may choose to skip any question you prefer not to answer. Your responses are voluntary and will remain confidential.

Change in Practice Survey (Baseline)

Please answer the following based on your current practice regarding childhood obesity.

Assess BMI and comorbidity risk factors in pediatric patients?

Follow AAP clinical practice guidelines in obesity management?

Assess the patient's motivation for weight management and behavior change?

Discuss weight management, nutrition, and physical activity with families?

Use motivational interviewing or goal-setting strategies in obesity counseling?

Refer patients to a dietician or other counselor?

Connect families with community program for obesity management?

Use person-first language (e.g., "child with obesity" vs. "obese child") in your communication with families.

For any questions that you answered "Never" or "Occasionally," what prevents you from performing these practices frequently or always?

Lack of knowledge or training

Limited time during appointments

Insufficient resources or tools

Patient resistance or discomfort

Other

If other, please explain

Terms & Conditions

By checking this box, you agree that clicking "Submit" on this form and/or downloading the associated content signifies your acceptance of these terms and conditions. Please review these terms carefully before saving the digital download from Greaux Healthy. If you have questions, please contact us at greauxhealthy@pbrc.edu.

By submitting this form you agree to receive email communications from the Greaux Healthy initiative. You may unsubscribe at any time using the link in our emails.

Download the Childhood Obesity Treatment Toolkit

Complete this survey to access your toolkit download.

Where do you work?

You may choose to skip any question you prefer not to answer. Your responses are voluntary and will remain confidential.

Please answer the following based on your current practice regarding childhood obesity.

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