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| * Do you have a valid Attendee QR code available? |
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| Is the scanned data acceptable? |
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| Email Address * | | | | Zip Code * | | |
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| Badge ID# | | | | * First Name* | | | | * Last Name* | | | | * Company Name* | | | | * Zip Code* | | | | * Email Address* | | |
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 Product section: Nutrition |
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| * What is your occupation? |
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| Do you prescribe, review, compound, or dispense parenteral nutrition orders? |
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| Would you be interested in participating in a brief survey on parenteral nutrition? |
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| I understand you may not have time to take the survey now, would you be interested in participating via email at a time convenient for you? |
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| On average, how many TPN’s does your facility process per day? | | |
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| Do you currently use calculation software when compounding TPN orders? |
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| Are you currently compounding in-house? |
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| What PN compounding system do you use? |
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| Are you interested in compounding in-house? |
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| Are you interested in receiving a demo of EXACTAMIX Compounder? |
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| Are you a 3/1 or 2/1 facility? |
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| How frequently are you dosing lipids? |
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| What is your reason for not dosing lipids daily? | | |
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| Are you a current user of CLINIMIX/CLINIMIX E Injections? |
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| Do you have any questions about any of the following Baxter Nutrition Products? |
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Communication Preferences |
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| Would you like a Sales Representative to contact you? |
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| Communication preference options:
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| * Contact No# (Numbers Only) | | |
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| Would you like to receive future emails from Baxter? |
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Please proceed to Nutrition Academy Kiosk. |
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