JDRF SurveyJDRF Survey

1. How do you rate awareness of type 1 diabetes?

How do you rate awareness of type 1 diabetes? High awareness

Low awareness

No awareness

2. At what age were you or your child diagnosed with type 1 diabetes?

At what age were you or your child diagnosed with type 1 diabetes? 0-10

10-20

20-30

40+

3. Do you ever feel society discriminates against you or your child because of the condition?

Do you ever feel society discriminates against you or your child because of the condition? Yes

4. Were you or your child ever bullied at school in any way as a result of having type 1?

Were you or your child ever bullied at school in any way as a result of having type 1? Yes

5. Have you or your child ever experienced discrimination at school or in the workplace because of type 1?

Have you or your child ever experienced discrimination at school or in the workplace because of type 1? Yes

6. Do you feel there is a perception in society that type 1 is a result of poor diet and/or lifestyle?

Do you feel there is a perception in society that type 1 is a result of poor diet and/or lifestyle? Yes

7. Have you or your child ever felt depressed as a result of your condition?

Have you or your child ever felt depressed as a result of your condition? Yes

8. Do you feel you or your child missed out on part of your/their childhood because of your/their condition?

Do you feel you or your child missed out on part of your/their childhood because of your/their condition? Yes

9. How many days on average did/do you or your child miss from school or work each year as result of your/their condition?

	School	Work
0 – 5 days	*How many days on average did/do you or your child miss from school or work each year as result of your/their condition? 0 – 5 days School	0 – 5 days Work
5 – 10 days	5 – 10 days School	5 – 10 days Work
10 – 20 days	10 – 20 days School	10 – 20 days Work
20 days+	20 days+ School	20 days+ Work
I cannot work/my child cannot go to school because of my/their condition	I cannot work/my child cannot go to school because of my/their condition School	I cannot work/my child cannot go to school because of my/their condition Work

10. Are you worried about the financial impact of having type 1?

Are you worried about the financial impact of having type 1? Yes

11. Are you worried about having to give up work or go part-time as a result of managing your own or a child’s type 1?

Are you worried about having to give up work or go part-time as a result of managing your own or a child’s type 1? Yes

12. Has your condition caused you or your child to give up the things you enjoy?

Has your condition caused you or your child to give up the things you enjoy? Yes

If so, what?

13. Is there more than one person in your family with type 1 diabetes?

Is there more than one person in your family with type 1 diabetes? Yes

N/A