Exit this survey

1. Default Section

Question Title

* 1. Which pages of our website did you visit today? (please select all that apply)

Question Title

* 2. How would you rate the usefulness of the information you have found on our website today?

Question Title

* 3. Please let us know what you particularly like about our website

Question Title

* 4. Please let us know if there is anything you would particularly like to see on our website

Question Title

* 5. How did you hear about Successful Diabetes?

Question Title

* 6. Would you recommend our website to others? please answer yes or no, and give a brief reason.

Question Title

* 7. What is your connection to diabetes?

Question Title

* 8. What is your name? (So we can send you your copy of 'Inspiring Words')

Question Title

* 9. What is your email address? (So we can send you your copy of 'Inspiring Words')
Please double check that your email address is correct!

Question Title

* 10. Can we send you our regular, short newsletter, to keep you up to date with news and offers from
Successful Diabetes? (please note we will NOT use your information for any other purpose or share it withany others)

T