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* How familiar are you with the American Diabetes Association?

* Were you aware that the ADA offers programs throughout the Greater Rochester region?

* Please select the description that best describes your knowledge or relationship with the ADA in Rochester. (Please select all that apply)

* Has diabetes touched your life? (Please select all that apply)

* What do you believe to be the causes of diabetes? (check all that apply)

* When you read through the statements below, please check the ones that you think make the most sense to you.

* What do you believe people with diabetes can do to help their conditions? (please check all that apply)

* What inspires you when it comes to health? (please check all that apply)

* How important is the work of the ADA office here in Rochester, compared to other health organizations locally?

* Please complete this sentence: The American Diabetes Association/Rochester Division is the clear leader in providing our community with (check all that apply):

* If the ADA Rochester office were to disappear tomorrow, where would you turn to for the services it provides?

* If you had to use one sentence to describe the ADA Rochester Division to someone new in the area, what would you say?

* Where do you look for information and health care options in Rochester? Please check all that apply.

* If you had to choose one way to get information about health, what would you choose?

* How important is it to you to participate in events that tie-in to health condition awareness?

* How do you support groups who are working to raise awareness about medical conditions, such as diabetes?

* Please indicate your age

* To which racial or ethnic group(s) do you most identify?

* What city/town do you live in?

* What is your annual household income? (Remember, your answers are completely anonymous.)

* If there is anything else you’d like to tell us about your experience with the ADA in Rochester (a compliment, a suggestion, anything) please add it below. Again, your responses are completely anonymous.

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