Sign up for our research study

Get a Voice Assistant in your home

Please answer the questions in this survey to the best of your ability to be in with a chance of taking part and receiving a FREE MiiCube voice assistant. The purpose of using the MiiCube assistive technology is to enable self-management and allow people to remain in their homes for longer. This project will help determine the acceptance, engagement and health outcomes of older adults who have been diagnosed with type 2 diabetes or prediabetes using assistive technology in their homes.

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* 1. Please tell us the following:

Full name *

Home address *

City/Town

Post Code

Email address *

Contact telephone

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* 2. What is your date of birth?

Select date:

Date

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* 3. Gender:

Male

Female

Prefer not to say

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* 4. Have you been diagnosed with any of the following conditions:

Prediabetes

Type 2 diabetes

Other (please specify)

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* 5. Do you live alone?

Yes

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* 6. Do you have a carer?

Yes

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* 7. Do you consent to your data being passed to MiiCare should you be eligible to participate in the project in order that their customer care team can coordinate setting up the MiiCube in your home?

Yes