Oneness Example Eligibility Screening

Screening Questions

Question Title

* 1. What is your biological gender?

Male

Female

Other (please specify)

Question Title

* 2. What is your age?

Under 18

18-24

25-34

35-44

45-54

55-64

65-80

81+

Question Title

* 3. Do you have Type 1 or Type 2 diabetes?

Yes, Type 1 diabetes

Yes, Type 2 diabetes

No, neither Type 1 or Type 2 diabetes

Question Title

* 4. Are you undergoing therapy for glycemic control using available diabetes drugs, including insulin?

Yes, using insulin

Yes, not using insulin

No