Foie Gras Opinion Survey Please fill out the form below: Name * First Name Last Name Email * Do you support a ban on Foie Gras? * Yes No Unsure Are you a veterinarian? * Yes No What is your profession? Check all that apply. Veterinarian Registered Veterinary Technician Veterinary Assistant Other Veterinary Worker Non-Veterinary Worker Veterinary Student Pre-Veterinary Student Animal Advocate Attorney Other Medical Profession Animal Professional Farmer/Producer Laboratory Animal Researcher Companion Animal Exotics Livestock Wildlife Zoo USDA Other Government Worker Industry Other Student (non-veterinary) Retired Other Are you an AVMA member? * Yes No If yes, please list your AVMA membership number. Else, enter "N/A". optional What US state do you live in? * Are you a member of your state veterinary medical association? * Yes No Please provide any comments/opinions on foie gras. What are your dietary habits? optional Omnivore Vegetarian Vegan Other Phone Optional. Provide if you would like to receive text updates on campaigns. (###) ### #### Address Optional. Provide if you would like to receive information about campaigns or events local to you. Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you!
