Burke Pediatrics LLC, in an effort to meet the American Academy of Pediatric national goals of improved child and adolescent nutrition, and in collaboration with The Fairfax County Office for Children and The Fairfax County Health Department is making an effort to identify additional nutritional needs of children and their families. We request that you complete the brief questionnaire below. The information will remain confidential as all medical records are. The information will be used to help us develop additional services that could be available for you and your family through our practice. Thank you.