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Application to access "Say no to Diabetes"
- a free 8-week course about the prevention or management of type 2 diabetes through diet and lifestyle. All of the information provided will be kept strictly confidential and will be deleted should your application not be successful.
Name *
Your answer
Age *
Your answer
Email Adress *
Your answer
Phone Number *
Your answer
What are your current health challenges? *
Your answer
I want to take part because *
Required
I (or my loved one) measure my blood glucose levels ...
I (or my loved one) currently have prescriptions for the following diabetic medication *
Required
Any other medication? *
Your answer
What do you expect do get out of the course? *
Your answer
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