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Diabetes
Thank you so much for taking this short survey of diabetes for my Senior Capstone Project.
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* Indicates required question
What age were you diagnosed with diabetes?
*
0-18 years old
18-44 years old
45-64 years old
65-74 years old
75+ years old
What is your ethnicity?
*
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Required
Which type were you diagnosed with?
*
Type 1
Type 2
Other:
Have you changed your lifestyle based on your diagnosis? (even the slightest amount counts!)
*
Yes
No
Have you researched diabetes?
*
Yes
No
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