Mental Fitness
Tell us a bit about you
We are inviting people to share their opinions and experiences of diabetes related distress as part of a mental wellbeing and resilience program.
*
1.
Which type of diabetes do you have?
(Required.)
Prediabetes
Type 2 Diabetes
Type 1 Diabetes
Gestational Diabetes
LADA
MODY
Diabetes Insipidus
I don't have diabetes
*
2.
Have you been diagnosed with any other health conditions?
(Required.)
Allergies
Alzheimer’s disease
Anxiety
Arthritis
Asthma
Cancer
Cardiovascular disease
Chronic Kidney Disease (CKD)
Chronic pain
Coeliac disease
Crohn’s Disease
Dementia
Depression
Fatty liver disease
Fibromyalgia
Heart disease
High blood pressure
HIV
Hypertension
IBS
Insomnia
Metabolic syndrome
Multiple sclerosis
Nephropathy
Neuropathy
Other mental health
Overactive bladder (OAB)
Parkinson’s Disease
PCOS
Retinopathy
Ulcerative Colitis
Visual impairment
I am not diagnosed with any condition by medical professional
Other (please specify)
*
3.
What is your ethnic group?
(Required.)
White
Black/African/Caribbean
Indian/Pakistani/Bangladeshi/Other Central Asian
Chinese/Japanese/Other East Asian
Mixed/Multiple ethnic groups
I'd prefer not to say
*
4.
What is your occupational status?
(Required.)
Student
Full-time employment
Part-time employment
Unemployed
Retired
*
5.
What is your age?
(Required.)
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75 or older