Diabetes self care program survey
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1. Survey
Thank you for taking the time to fill out this survey. The information you provide will assist us to further refine the program and improve its usability.
1
. Where are you located?
Where are you located?
SA
WA
NT
Qld
NSW
ACT
Vic
Tas
Other (please specify)
2
. Is your service located in
Is your service located in
metro
rural
remote
Other (please specify)
3
. What is your health discipline?
What is your health discipline?
Registered nurse
Aboriginal health worker
Enrolled nurse
Dietitian
Podiatrist
Other (please specify)
4
. What is your current position held?
What is your current position held?
diabetes educator
program coordinator
podiatrist
dietitian
Other (please specify)
5
. Have you used the Diabetes Self Care program
Have you used the Diabetes Self Care program
yes
no
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