Quiz

Welcome to your Diabetes Recovery Pathway Quick Quiz

First Name
Email
What is your gender?
What is your age?
What is your single biggest challenge or struggle with diabetes? (be as descriptive as possible)
How long have you been diabetic?
Which describes you the most?
What is your single biggest motivation for improving your health and how will you feel when you have achieved this?
What is your greatest fear if your diabetes is not treated properly?
What medication(s) are you taking including non-diabetic medication? (important to not leave anything out)
How would you describe the severity of your diabetes and related symptoms - include your HbA1c/A1c (if known)?
To the best of your understanding what is the best treatment for type 2 diabetes and how do we reverse this condition?
Which/who are your main sources of information for treating diabetes (specific names if they are famous educators/health professionals, websites or books)?
How many times (on average) do you eat food per day?
How often do you engage in physical exercise?
Which foods that you are consuming do you feel are contributing to your types 2 diabetes?
How can we help you to achieve your health goals? (please be as specific and descriptive as possible **very important to write everything that comes to mind)
What are you looking for in a Diabetes Recovery Program (specific tools, information and features)?

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