Medical Treatments Paid Study Pre-Questions

 
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1. Please enter your basic contact info.
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2. What type of Diabetes do you have?
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3. Have you participated in any market research related to the treatment of diabetes in the last month?
4. Please indicate the medications are you currently using for the treatment of your diabetes and how long ago each treatment was initiated.
5. What is your age?
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6. What is your approximate average household income?
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7. What type of health plan do you currently have?
8. On a scale of 0 to 10, where 0 is not at all and 10 is it's an integral part of who I am, to what degree do you feel diabetes is a large part of your identity?
9. On a scale from 0 to 10, where 0 is very difficult and 10 is very easy, how difficult do you find your diabetes treatment routine?
10. On a scale from 0 to 10, where 0 is not at all and 10 is fully in control, how much do you feel in control over your condition?
11. On a scale from 0 to 10, where 0 is not at all and 10 is extremely important, how important is it for you to be in control of your blood sugar level?
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12. How did you hear about this study?