Prescription Hope Diabetes Survey
We'd love to hear your thoughts, feelings, and impressions from your experience with Prescription Hope so we can serve you better.
Does diabetes affect your day to day activities?
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What type of diabetes do you have? *
How would you rate your understanding of diabetes? *
Very Poor
Very Good
Do you use insulin? *
If you answered yes to the last question, what type of insulin do you take?
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If you inject insulin, what method do you use for injecting?
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Do you take any other medications for diabetes? *
How often do you have high blood sugar? (greater than 250mg/dL)? *
How often do you have low blood sugar? (below 70mg/dL)? *
Have you suffered from complications associated with diabetes?
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