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Surveys
2014
March
D
Diabetes shared medical visit
Diabetes shared medical visit
0%
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How many years have you had diabetes?
1-5 years
5-10 years
10-20 years
>20 years
How would you rate your overall control of diabetes
Excellent
Good
fair
Poor
Including today, how many diabetes group appointments have you attended?
1
2
3
4
> 4
How would you rate your Knowledge of diabetes?
Excellent
Good
Fair
Poor
In the past year how often did your primary care provider discuss management of your diabetes?
Never
Sometimes
Often
Do our discuss your diabetes with your family and friends?
Not at all
Occasionally
Often, all the time
How strongly do you agree or disagree with the following statements?
Strongly agree
Somewhat agree
Neutral
Somewhat disagree
Strongly disagree
I have the ability to control my Blood sugars
I have the ability to control my blood pressure
I have the ability to control my diet
I believe exercise is important in controlling my blood sugars
I have a better understanding on minimizing future problems associated with my diabetes
I gained new knowledge on diabetes from other members in the group
I have similar problems as other members in the group
The group model was very useful to me
My worries about diabetes and how it will affect my health in the future were addressed
Tell us something you learned in todays group visit that you found particularly enjoyable?
*
Is there anything you wish the visit had provided but did not?
Do you have any suggestions for improving the group visit?
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