Local T1D Caregivers Interest Survey

Caregiver Services for People Living with Diabetes That Require Insulin

All For One Cares (AFOC) provides a community of top-vetted caregivers for hire. They offer a full range of diabetes services, so parents/guardians can have peace of mind when entrusting their loved ones with an All For One Cares Caregiver. Completing this 3 minute survey will help AFOC understand the needs of the local community and where to prioritize listing caregivers for hire. Thank you.

1.Would you hire a caregiver experienced in Type 1 Diabetes care?

Yes

Maybe

2.Would you use All For One Cares services for_______? (Select all that apply)

Hourly care

Overnight care

On-demand site change support (i.e., sensor, tubing, or pod)

Other (please specify)

3.What is the age of the person(s) living with diabetes that you care for? (Select all that apply)

1-10

11-15

16 -25

26 or older

4.How many family members living with diabetes and require insulin do you care for?

4 or more

5.Do you currently use a caregiver service to assist you?

Yes

If yes, please specify:

6.Select the type of continuous glucose monitoring (CGM) device used by the person living with Type 1 diabetes:

Dexcom

Medtronic Guardian Connect

Abbot Freestyle Libre

Does not use a CGM

Other

7.Select the type of insulin pump system used by the person living with Type 1 diabetes:

Medtronic

Omnipod

T-slim

Does not use an insulin pump

8.I currently live in (Please provide zip code):

9.Would you prefer the caregiver have the following experience:

1-2 years of T1D care experience to supervise but won't administer insulin (lowest cost)

3 plus years of T1D care experience including insulin admninistration (mid-range cost)

3 plus years of T1D care experience including insulin administration and professional experience (e.g., nurse, CDCES, special needs) (highest cost)

10.If you are interested in learning more about all for one care please provide your contact information below (optional):

Name

Phone Number

Zip Code

Current Progress,

0 of 10 answered

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