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Hypo Evaluation Survey
Evaluating your progress
*
1.
As a result of completing the Hypo Awareness Program, please tell us how much you agree with the following statements:
(Required.)
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I know which people are at risk of developing hypo unawareness
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I know the definitions of a hypo, severe hypo and hypo unawareness
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I know the factors that put you at a higher risk of losing hypo awareness
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I know why hypo symptoms can be lost
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I know how to avoid hypos
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I know how to spot a hypo
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I know the physical and emotional symptoms of a hypo
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I know the physical and emotional symptoms of a night-time hypo
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I know the situations that make hypos harder to spot than usual
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I know how to treat a hypo
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I know the common causes of low blood sugar and how to stops these situations occurring
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
I know the hypo symptoms linked to driving and how to prevent lows when driving
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
My understanding of hypo awareness has improved as a result of the Hypo Awareness Program
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
*
2.
What was your last HbA1c:
(Required.)
4% or below (20 mmol/mol)
4.1% (21 mmol/mol)
4.2% (22 mmol/mol)
4.3% (23 mmol/mol)
4.4% (25 mmol/mol)
4.5% (26 mmol/mol)
4.6% (27 mmol/mol)
4.7% (28 mmol/mol)
4.8% (29 mmol/mol)
4.9% (30 mmol/mol)
5% (31 mmol/mol)
5.1% (32 mmol/mol)
5.2% (33 mmol/mol)
5.3% (34 mmol/mol)
5.4% (36 mmol/mol)
5.5% (37 mmol/mol)
5.6% (38 mmol/mol)
5.7% (39 mmol/mol)
5.8% (40 mmol/mol)
5.9% (41 mmol/mol)
6% (42 mmol/mol)
6.1% (43 mmol/mol)
6.2% (44 mmol/mol)
6.3% (45 mmol/mol)
6.4% (46 mmol/mol)
6.5% (48 mmol/mol)
6.6% (49 mmol/mol)
6.7% (50 mmol/mol)
6.8% (51 mmol/mol)
6.9% (52 mmol/mol)
7% (53 mmol/mol)
7.1% (54 mmol/mol)
7.2% (55 mmol/mol)
7.3% (56 mmol/mol)
7.4% (57 mmol/mol)
7.5% (58 mmol/mol)
7.6% (60 mmol/mol)
7.7% (61 mmol/mol)
7.8% (62 mmol/mol)
7.9% (63 mmol/mol)
8% (64 mmol/mol)
8.1% (65 mmol/mol)
8.2% (66 mmol/mol)
8.3% (67 mmol/mol)
8.4% (68 mmol/mol)
8.5% (69 mmol/mol)
8.6% (70 mmol/mol)
8.7% (72 mmol/mol)
8.8% (73 mmol/mol)
8.9% (74 mmol/mol)
9% (75 mmol/mol)
9.1% (76 mmol/mol)
9.2% (77 mmol/mol)
9.3% (78 mmol/mol)
9.4% (79 mmol/mol)
9.5% (80 mmol/mol)
9.6% (81 mmol/mol)
9.7% (83 mmol/mol)
9.8% (84 mmol/mol)
9.9% (85 mmol/mol)
10% (86 mmol/mol)
10.1% (87 mmol/mol)
10.2% (88 mmol/mol)
10.3% (89 mmol/mol)
10.4% (90 mmol/mol)
10.5% (91 mmol/mol)
10.6% (92 mmol/mol)
10.7% (93 mmol/mol)
10.8% (95 mmol/mol)
10.9% (96 mmol/mol)
11% (97 mmol/mol)
11.1% (98 mmol/mol)
11.2% (99 mmol/mol)
11.3% (100 mmol/mol)
11.4% (101 mmol/mol)
11.5% (102 mmol/mol)
11.6% (103 mmol/mol)
11.7% (104 mmol/mol)
11.8% (105 mmol/mol)
11.9% (107 mmol/mol)
12% (108 mmol/mol)
12.1% (109 mmol/mol)
12.2% (110 mmol/mol)
12.3% (111 mmol/mol)
12.4% (112 mmol/mol)
12.5% (113 mmol/mol)
12.6% (114 mmol/mol)
12.7% (115 mmol/mol)
12.8% (116 mmol/mol)
12.9% (117 mmol/mol)
13% (119 mmol/mol)
Greater than 13% (119 mmol/mol)
I don't know my HbA1c
100%