Membership Lifestyle Survey Demographics Question Title * 1. Q1 - What best describes your gender? Male Female Other Question Title * 2. What is your age? Please specify Question Title * 3. Which of the following best describes you? (Choose one) I have Type 1 diabetes I have Type 2 diabetes I am a parent/carer of someone with diabetes I have Type 1.5 (LADA) I have gestational diabetes I am a health care professional I don't have diabetes Other (please specify) Question Title * 4. How long since you were diagnosed with diabetes? Choose one 10+ years Five to 10 years More than one year and less than five Less than one year I can't remember N/A Question Title * 5. How are you managing your diabetes? Please choose one of the below options. Diet & exercise Diet, exercise & tablets Diet, exercise & insulin injections Insulin injections Pump Other (please specify) Next
