You and diabetes. Do you get along?
This version of the survey is for a parent/guardian or partner to complete on behalf of a person who has diabetes.
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Are you a parent/guardian or a partner answering on a person's behalf? Please answer all questions in this survey from the person's perspective
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Which type of diabetes do you have? *
Are you male or female? *
Age *
Occupation (if age applicable) *
Country of residence *
Diabetes in your day
Which insulin delivery method do you use? *
On average, how many times a day do you inject? *
On average, how many needles do you use a day? *
What items of diabetes equipment do you carry/wear in your average day? *
How do you carry your equipment? *
Does carrying your equipment inconvenience or frustrate you? If so, why? *
Do you feel comfortable leaving your equipment on show? E.g. pen sitting on a table in a restaurant? *
On the scale below, please indicate the degree to which injecting in public causes you distress *
None whatsoever
Severe distress
More generally, how do you feel about injecting in public? *
If you ever experience social anxiety when injecting in public, does this delay or prevent you from taking insulin? *
Can carrying your equipment sometimes interfere with or disrupt social activities? If so, which activities and how? *
Do you ever feel worried about the safety of your equipment? *
If you answered "yes" to the previous question, what is it that worries you and how do you deal with it?
Do you find yourself taking special measures when engaging in certain activities, such as sports, formal settings, travelling, or other? If so, what measures? *
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