Dining with Diabetes Down East
A Program for People with Diabetes and Their Families

 
This program is free and open to anyone with type 2 diabetes, prediabetes, family members and caregivers. Participants will learn how to select and prepare foods that help to control blood sugar, cholesterol and blood pressure. There will be an opportunity to taste a variety of main dishes, side dishes, and desserts.

If you are interested in participating in this program, please answer the following questions so we may offer it in a way that best fits your needs.

Your answers will be confidential.
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1. Please provide the following contact information:
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2. How old are you?
3. How many of your family members and/or caregivers do you think will join you?
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4. Please select from the list below what you or a family member have been told by a medical provider:
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5. The group will meet once per week for 4 weeks. Please select from the list below the times for which you would attend.
6. Please select the towns for which it would be most convenient to hold the program.
7. Optional: Please list any specific locations (buildings) located near you that may be appropriate for holding the program. Those with cooking facilities are preferred but not required.
8. Optional: Please describe any topics that you would like to learn about.
9. Optional: Please describe anything that could possibly interfere with your ability to participate in all 4 sessions of the series.
10. Are you willing to make a commitment to attending all 4 weekly sessions of the series?
11. Do you have any questions or comments?
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