Skip to content
Diabetes Smart Survey
1.
Please take a few moments to let us know your views on Diabetes Smart
Your views are important as we hope to improve/add to the learning modules depending on your feedback
*
1.
Please indicate the level of agreement with the following statement?
(Required.)
Strongly Agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
The information in the lessons were relevant to me
*
2.
Please indicate the level of agreement with the following statement?
(Required.)
Strongly Agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
I learned something new while completing the Diabetes Smart Programme
*
3.
Please indicate the level of agreement with the following statement?
(Required.)
Strongly Agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
I believe I am more equipped to manage my diabetes from the knowledge gained by completing Diabetes Smart
*
4.
Please indicate the level of agreement with the following statement?
(Required.)
Strongly Agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
I would recommend Diabetes Smart to someone diagnosed with Diabetes
5.
If you
ticked disagree or strongly disagree
with any of the above statements can you please share with us why?
*
6.
I can see myself setting some new goals to manage my diabetes after doing this programme?
(Required.)
Agree
Disagree
If you selected agree, what would be your first goal?
*
7.
Please indicate how useful or least useful this section was for you?
(Required.)
Very useful
Useful
Not useful
What is Diabetes?
Very useful
Useful
Not useful
*
8.
Please indicate how useful or least useful this section was for you?
(Required.)
Very useful
Useful
Not useful
Getting Active
Very useful
Useful
Not useful
*
9.
Please indicate how useful or least useful this section was for you?
(Required.)
Very useful
Useful
Not useful
Understanding blood glucose levels
Very useful
Useful
Not useful
*
10.
Please indicate how useful or least useful this section was for you?
(Required.)
Very useful
Useful
Not useful
Diabetes and Illness
Very useful
Useful
Not useful
*
11.
Please indicate how useful or least useful this section was for you?
(Required.)
Very useful
Useful
Not useful
Potential diabetes complications: Screening and Prevention
Very useful
Useful
Not useful
12.
If you answered
not useful
for any of these questions
above
could you please share why?
*
13.
Is there anything missing from Diabetes Smart?
(Required.)
*
14.
Diabetes Smart is one way that Diabetes Ireland supports you. Would you consider joining the charity as a member to support us to do more work like this? Membership costs between €30-€45 annually. Will you join?
(Required.)
Yes
No
*
15.
Now you have completed Diabetes Smart would you like to sign up for CODE, our free group education course facilitated by a Diabetes nurse or dietitian which is held virtually?
For more information of how to sign up for CODE, please visit:
www.diabetes.ie
(Required.)
Yes
No
