How old is your child with diabetes? (If child is completing the survey, how old are you?)

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* 1. How old is your child with diabetes? (If child is completing the survey, how old are you?)

Does the child have Type 1 or Type 2 diabetes?

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* 2. Does the child have Type 1 or Type 2 diabetes?

What do you feel is the biggest obstacle/challenge in handling diabetes?

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* 3. What do you feel is the biggest obstacle/challenge in handling diabetes?

What service would be most helpful to your family?

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* 4. What service would be most helpful to your family?

Do any adults in your family have diabetes?

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* 5. Do any adults in your family have diabetes?

What is your biggest obstacle to attending diabetes classes?

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* 6. What is your biggest obstacle to attending diabetes classes?

Would you be interested in free nutrition classes?

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* 7. Would you be interested in free nutrition classes?

Would you be interested in free exercise classes?

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* 8. Would you be interested in free exercise classes?

What would help you to start and sustain healthy behaviors for your child and family?

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* 9. What would help you to start and sustain healthy behaviors for your child and family?

Please list any diabetes and healthy lifestyle resources that you are familiar with. 
Thank you for your input!  Your help is greatly appreciated!  -The team at Better Health, 910-483-7534

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* 10. Please list any diabetes and healthy lifestyle resources that you are familiar with. 
Thank you for your input!  Your help is greatly appreciated!  -The team at Better Health, 910-483-7534

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