Since we would not be able to meet all of you to be interviewed for our documentary due to distant locations, this survey gives us a bit of information about each of you that we could possibly include in the documentary! If you have a story you would like to be told please share!! :)) Make sure that if you are filling out this voluntary survey that you have filled out the consent and release form and have sent it to our  email jordancox31@icloud.com

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* 1. What is your name and how old are you?

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* 2. Where do you live?

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* 3. When were you diagnosed with T1D? (Do not need to specify day or month)

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* 4. Are you currently using a CGM (continuous glucose monitor)? If so, please specify the company and monitor you use and how long you have been using the CGM. Have you used any other CGM before the one you currently use?

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* 5. Are you currently using an insulin pump? If so, please specify the company product you use and how long you have been using the pump. Have you used any other insulin pump model besides the one you are currently using?

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* 6. Have you ever had diabetic ketoacidosis (DKA)? If so, please provide a brief summary of when you had the condition.

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* 7. Has your T1D affected your health in any other way or has put you at risk for other autoimmune disorders? (EX: foot damage, eye damage, skin and mouth conditions, heart & blood vessel disease, celiac disease)

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* 8. Please briefly summarize your experience when you were first diagnosed with T1D.

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* 9. Have you had any major episodes/events with either low or high blood sugars? If so, please briefly explain.

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* 10. If you have any story/experience(s) that you would like to be included in the documentary, please feel free to do so!!

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