Dietetic Internship - 5 Year Post Graduate Survey

Dear Graduate:

Southern Regional Medical Center's Dietetic Internship is interested in your achievements since graduation. Please answer the following by selecting either yes or no and answering the questions as appropriate. We will use this information to improve and adjust our program as warranted. Please take 10-15 minutes of your time to complete the following survey. Your cooperation in completing this questionnaire is greatly appreciated.

* - required fields

Employee/Graduate Name:  *
Credentials:  * RD  LD   Other  

1.  Are you currently involved in National, State, or Local Professional Associations?  *

  Yes No
If yes, which ones?

2.  Have you obtained any additional credentials or certifications since graduation?  *

  Yes No
If yes, please list. 

3.  Do you currently participate in community service/nutrition activities?  *

  Yes No
If yes, please list. 
4.  Did you apply to any post-graduate degree program since you graduation from the internship?  *  Yes No
If yes, please list. 

5.  Where you accepted by the program?  *

  Yes No