Successful Diabetes - Your Feedback
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1. Default Section

1. Which pages of our website did you visit today? (please select all that apply)

Which pages of our website did you visit today? (please select all that apply) Home page

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2. How would you rate the usefulness of the information you have found on our website today?

How would you rate the usefulness of the information you have found on our website today? Extremely Useful

Very Useful

Quite Useful

Not At All Useful

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3. Please let us know what you particularly like about our website

Please let us know what you particularly like about our website

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4. Please let us know if there is anything you would particularly like to see on our website

Please let us know if there is anything you would particularly like to see on our website

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5. How did you hear about Successful Diabetes?

How did you hear about Successful Diabetes? Online

Recommended

Word of mouth

Workshop

Other (please specify)

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6. Would you recommend our website to others? please answer yes or no, and give a brief reason.

Would you recommend our website to others? please answer yes or no, and give a brief reason.

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7. What is your connection to diabetes?

What is your connection to diabetes? Newly Diagnosed

Type 1 diabetes

Type 2 diabetes

Friend/relative of person with diabetes

Practice Nurse

Nurse Practitioner

HCA

Diabetes Specialist Nurse

Dietitian

Pharmacist

Podiatrist

Other- living with diabetes

Other - health professional

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8. What is your name? (just so we can send you your copy of 'Tips for a Lively 2012')

What is your name? (just so we can send you your copy of 'Tips for a Lively 2012')

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9. What is your email address? (Just so we can send you your copy of 'Tips for a Lively 2012')
Please double check that your email address is correct!

What is your email address? (Just so we can send you your copy of 'Tips for a Lively 2012') Please double check that your email address is correct!

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Successful Diabetes - Your FeedbackExit this survey

1. Default Section

1. Which pages of our website did you visit today? (please select all that apply)

*2. How would you rate the usefulness of the information you have found on our website today?

*3. Please let us know what you particularly like about our website

*4. Please let us know if there is anything you would particularly like to see on our website

*5. How did you hear about Successful Diabetes?

*6. Would you recommend our website to others? please answer yes or no, and give a brief reason.

*7. What is your connection to diabetes?

*8. What is your name? (just so we can send you your copy of 'Tips for a Lively 2012')

*9. What is your email address? (Just so we can send you your copy of 'Tips for a Lively 2012')Please double check that your email address is correct!