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Diabuddies Mailing List
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Name
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Your answer
Email
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Your answer
Which best describes you?
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Parent of a Child with Diabetes
Person with Diabetes
Other:
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How old are you?
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This helps us send age-specific resources. If you're 17 or younger, please have your parent fill this form out!
17 or younger
18 or older
Any comments or questions for us?
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How did you hear about us?
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