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CGM acceptability questionnaire -
Please fill this questionnaire to help us understand how pregnant women find CGM.
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Email
*
Your email
Name and Surname
*
Your answer
Phone number
*
Your answer
Did you find the device generally acceptable (tolerable)?
*
I found CGM overall very unacceptable
1
2
3
4
5
I found CGM overall very acceptable
Could you please rate on the following scale the acceptability of the insertion of the device:
*
Insertion was very unacceptable
1
2
3
4
5
Insertion was very acceptable
Could you please rate on the following scale the acceptability of wearing the device:
*
The device was difficult to wear or caused significant problems
1
2
3
4
5
The device was easy to wear and caused no problems
Could you please rate on the following scale the acceptability of removal of the device:
*
Removal of the device was very unacceptable
1
2
3
4
5
Removal of the device was very acceptable
Would you recommend this form of testing for gestational diabetes to other pregnant women?
*
I would not recommend
1
2
3
4
5
I would recommend this form of testing to other pregnant women
Please provide any further comments in the space below:
Your answer
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