$100 NATIONWIDE ONLINE MEDICAL STUDY - Type 2 Diabetes
PLEASE READ THIS BEFORE STARTING.....

Hello and thank you for your interest in participating in this study. The client will be paying you $100 via PayPal, CHECK, or Amazon.

THIS RESEARCH STUDY IS FOR MEN AND WOMEN THAT HAVE BEEN DIAGNOSED ONLY WITH TYPE 2 DIABETES.

Currently we are looking for men and women that are have been diagnosed with Type 2 Diabetes 5 or more years ago.... that are on Insulin Injections via syringe &/or pen for 1 year or longer. If you are between the ages of 35 and 70 that use A Long Acting (basal) Insulin AND Meal-time (Rapid Acting) Insulin 3 times a day or more you could be an asset to yhis study. I need current and passed users of a personal CGM for personal use ...If interested please fill out the questionnaire and submit it. We will contact you for scheduling if we find that you qualify. Thank you for your interest and time.

Elite Market Research
Marshia Hamilton, Director
www.elitemarketresearchteamnationwide.net

What is your email address? *
Your answer
What is your PHONE NUMBER?
Your answer
Your FIRST & LAST NAMES (both required) *
Your answer
In what CITY do you live? *
Your answer
In what STATE do you live? *
What is your Zip Code? *
Your answer
1. What is your age? *
Your answer
2. Again, in what CITY & STATE do you live. BOTH ARE REQUIRED TO BE SCHEDULED *
Your answer
3. Which of the following best describes your working situation, are you working… *
4. Are you or any member of your household employed by or retired from any of the following types of companies? *
Required
5. Are you currently under the care of a health care professional? *
6. a. Which, if any, of the following medical conditions have you been diagnosed with by a physician? *
Required
6. b. Which of the conditions you say you were diagnosed with are you CURRENTLY under a physicians care for? *
Required
7. Have you participated in any studies pertaining to diabetes in the last 3 months such as... *
8. You mentioned that you were diagnosed AND are currently being treated for diabetes. Which type of diabetes are you diagnosed as having? *
9. Which types of medical professionals do you currently see on a regular basis when you are making therapy/management decisions in regard to your diabetes? *
Required
10. How many years ago were you diagnosed with TYPE 2 diabetes? *
Your answer
11. Which of the following types of treatment do you currently use to help control your Type 2 Diabetes?... *
Required
12. You mentioned using Insulin to treat your diabetes. How long have you been treating your diabetes using Insulin? *
Your answer
13. Which of the following, if any, best describes the type of insulin you currently use? *
Required
14. Typically, how many times a day do you administer your Long Acting insulin injections?
Your answer
Typically, how many times a day do you administer your Meal Time (Rapid Acting) insulin injections? *
Your answer
15a. Agree or Disagree... “I’m proactively looking for better ways to care for my diabetes.” *
15b. Agree or Disagree... “I feel like I’m isolated by my diabetes.” *
15c. Agree or Disagree... “My diabetes control is inconsistent - sometimes it’s good and sometimes it’s not so good.” *
15e. “I feel that my doctor has customized my diabetes treatment.” *
15f. How much do you agree or disagree with this statement? “I want the support of my friends and family to stay on track in my treatment plan.” *
15g. Which of the following best describes how well controlled your blood sugar levels are currently? *
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