Diabetes Education Client Satisfaction WCHC

General Information

The Diabetes Education Program, Waterloo Region aims to better-equip patients to make healthier lifestyle choices to control blood sugar and reduce the risk of problems associated with diabetes. Please take a few minutes to complete the questionnaire to help us learn about your experience with your diabetes education team. Your feedback is important to us.

Your answers are confidential. What you share in the survey will have no impact on the care you receive through the Diabetes Education Program. It should take you about 10 minutes to complete.

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* 1. Age:

Under 18

18-44

45-54

55+

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* 2. Gender

Male

Female

Other (please specify)

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* 3. What type of diabetes do you have?

Pre-diabetes

Type I

Type II

Don't Know

Other (please specify)

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* 4. How long have you been living with diabetes?

Less than 1 year

1-5 years

More than 5 years

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* 5. How long have you been part of the Diabetes Education Program?

Less than 6 months

6-12 months

More than 1 year