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* 1. Please specify your age:

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* 2. Gender

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* 3. Have you been diagnosed with Cystic Fibrosis Related Diabetes (CFRD)?

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* 4. Have you been admitted to hospital due to your CFRD?

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* 5. If you have answered 'yes' to question 4, how many times has this occurred?

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* 6. Do you ‘feel’ your hypo’s?

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i We adjusted the number you entered based on the slider’s scale.

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* 7. Have you had a transplant?

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* 8. Do you use Flash Glucose Monitoring or a Continuous Glucose Monitoring device?

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* 9. If you have answered 'Yes' to question 8, please list the name and model of your device:

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* 10. If you have answered 'No' to question 8, please detail your reason for not using Flash Glucose Monitoring or a Continuous Glucose Monitoring (CGM) device (e.g. choice, cost, not eligible, difficulty accessing device):

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* 11. What is your monthly cost of Flash Glucose Monitoring or CGM consumables? (transmitter, sensor, etc.)

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* 12. What is your monthly cost of all other medications?

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* 13. Have you changed your CGM device since you turned 21 because of cost?

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* 14. Do you have Health Care Card?

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* 15. Comments/Feedback:

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