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  1. Surveys
  2. 2011
  3. October
  4. D
  5. Diabetes and Health Behaviors
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You are invited to participate in our survey concerning Diabetes and Health Behaviors. In this survey, approximately five people will be asked to complete a survey that asks questions about diabetes, health behaviors and attitude. It will take approximately 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project.
Please answer all the questions of this survery to the best of your ability. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported for scientific purposes only. If you have questions at any time about the survey or the procedures, you may contact Melissa Galloway at 352-233-8759.



 
 
 
Please answer all of the following questions below.

These are specific questions related to your diabetes in the last 12 months.
Strongly Disagree Disagree Neutral Agree Strong Agree
1. In the last 12 months I have been able to discuss different ideas with my doctor on how to manage my diabetes beter.
2. In the last 12 months, I have been able to follow my doctor's plan to help manage my diabetes.
3. In the last 12 months, I have made an effort to follow my doctor's advice on what to eat.
4. In the last 12 months, I have followed my doctor's advice on my physical activity levels.
 
 
Please answer these following questions related to your health behaviors.
Strongly disagree Disagree Neutral Agree Strongly agree
1. I control my diabetes through insulin.
2. I control my diabetes through exercise.
3. I control my diabetes by eating a healthy diet.
4. I often feel like I am in control of my diabetes.
5. I often feel like I am not in control of my diabetes.
6. I make food choices around people's expectations about what I should or should not eat.
 
 
These questions relate to your support group. A support group can include but is not limited to Doctors, Diabetic Clinics, Diabetic Support groups, family members and friends.
Strongly Disagree Disagree Agree Strongly Agree
I feel like I have a good support group to help me manage my diabetes.
I feel like I don't have a good supprt group to help me managae my diabetes.
My support group encourages me to make healthy decisions about my diabetes.
My support group make me feel good about myself when I make good health behvaior choices about my diabetes.
I don't have a supprt group.
I often feel alone and unsupported in the choices I make because of my diabetes.
I get critisized for making bad health behavior choices by my support group.
 
 
 
Please answer the following demographic questions to complete this survey.

Gender
 
Male
 
Female
 
 
 
Age
 
15-25
 
55-75

 
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