SGLT2i FBS Survey

1. Step 2: Would you like to participate in the SGLT2i FBS Collaboration Group?

If you would like to become a member of the SGLT2i FBS Collaboration Group, please give your full name, affiliation and email address. It is our intention to prepare a fast publication based on the results of this questionnaire on behalf of the collaboration group.

NOTE THAT YOU HAVE TO FILL IN ONE QUESTIONNAIRE PER PATIENT

Question Title

* 1. Please fill in your contact details:

Full name

Affiliation, as you want it to be stated in the scientific manuscript

Email Address