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It's My Diabetes, but I'm Not Alone Survey
The purpose is to know a little more about the individuals who viewed the video and if they learned something new about diabetes management while watching the video.
Do you have Type 2 Diabetes?
Yes
No
Do you have an Intellectual disability and/or Developmental Disability (IDD) (for example Autism, Down Syndrome, Cerebral Palsy, or others)?
Yes
No
Are you: (Choose all that apply)
Self-advocate
Family member or friend of a person with IDD
Caregiver of a person with IDD (Long Term Services and Supports, Case Manager, Paid Support Staff, or others)
Health care provider (nurse, physician, therapist, or others)
Diabetes Educator
None of the above
Did you learn something about diabetes from watching the video?
Yes
No
Do you plan to do something different because you watched the video?
Yes
No
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