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100%

 
 
What is your age group?
 
18 – 44
 
45 – 63
 
63 +
 
 
 
What type of Diabetes do you have?
 
Type I
 
Type II (Adult Onset)
 
Other
 
 
 
 
Are you currently taking medication for your diabetes?
 
Yes
 
No
 
 
 
How important is nutritional counseling with diabetes? (1 = not important; 10 = very important)
 
 
 
Where do you currently get your nutritional counseling?
 
Hospital
 
Clinic
 
Doctors Office
 
Private Consultant
 
Other
 
 
 
 
How satisfied are you with your current nutritional counseling? (1 = not satisfied; 10 = very satisfied)
 
 
 
What is important to you regarding diabetes health education? (Choose all that apply)
 
Latest trends in diabetes research
 
Cost
 
Relationship with educator
 
How to control diabetes through nutrition
 
Convenience to education
 
Knowledge of Educator
 
Other
 

 
 
 
How much would you be willing to pay for professional diabetes health consulting?
 
$10 per hour
 
$20 per hour
 
$30 per hour
 
$40 per hour
 
$50 per hour
 
Other
 
 
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