Hello my name I am a student of Paul Rogóż PWSZ wtdz Tarnow. Nursing this year I wrote thesis defense on late complications of diabetes (I myself am sick for several years so the subject is very close to me), I have to state your request Could you wyopelnic me the poll to the post office harrymecenas@interia.pl
abnkiety fill this takes a few minutes and for me it would be a big help ... If anyone has it I could fill it would be very grateful
Yours sincerely
2nd Gender: *
1) Female
2) Male
2nd What is your weight? *
3rd What is your growth *
4th How much do you years? *
5th 6th Where do you live?
1) In the countryside
2) In the city
6th What is your educational background?
1) Basic
2) Professional
3) Medium
4) Higher
7th What is your activity Profession?
1) I work
2) Do not work
3) I am a pensioner / weaves
4) I am a pensioner / weaves
8th How long is ill you for diabetes?
9th How is taking you medication for diabetes?
1) orally (tablets)
2) performing injection of insulin
10th Are you aware of the complications of type 2 diabetes?
1) Yes
2) No
11th Does the duration of diabetes deteriorated in your sight
1) Yes
2) No
12th Does the duration of diabetes occurred in your kidney?
1) Yes
2) No
13th Does the duration of the disease affects your sensory disturbances, or total abolition, feeling the most pain in the feet and legs, loss of vibration sensation
1) Yes
2) No
14th Does the duration of the disease affects your pressure decreased after the adoption of standing
1) Yes
2) No
15th Or during the course of the disease appeared in your asymptomatic myocardial infarction
1) Yes
2) No
16th Is the course of the disease appeared in your irregular heartbeat such as palpitations:
1) Yes
2) No
17th Or during the course of the disease appeared in your diarrhea or fecal incontinence
1) Yes
2) No
18th Or during the course of the disease appeared in your urine is not keeping with a tendency to frequent infections
1) Yes
2) No
19th Or during the course of the disease appeared in your erectile dysfunction (ED)
1) Yes
2) No
20th Is the result of the disease appeared in your diabetic foot?
1) Yes
2) No
21st Or during the course of the disease occurred in your heart attack?
1) Yes
2) No
22nd Or during the course of the disease occurred in your stroke?
1) Yes
2) No
23rd Or during the course of the disease occurred in your diabetic coma?
1) Yes
2) No
24th If you know exactly what, please indicate which of the following
1) Coma with przecukrzenia
2) Coma with a shortage of sugar
25th How the disease was in your detected?
1) during routine testing at work
2) accidentally during a stay in hospital
3) during routine
26th The disease has been in your early detected?
1) Yes
2) No
27th Do you attended you in the educational training on diabetes and its complications?
1) Yes
2) No
28th How to zachorowaniu tried / wa did you increase your knowledge about the disease?
1) read / shred various brochures, leaflets
2) read / shred the book on this topic
3) I was / shred part in various pogadankach
4) I was looking for / shred of information on the Internet
29th Do you traveled through the education you are more aware / we complications that occur in type 2 diabetes?
1) Yes
2) No
30th Is trying to do you prevent the occurrence of complications? *
1) Yes
2) No
31st Is a result of sickness brought / did you elements of self-control?:
1) running a diary of self-control diabetes
2) Independently performs the measurement of glucose using gleukometru
3)'ve made / am diabetic diet
4) I am more active / physically for
5) I began / started to control the skin, mainly of interest
6) I began / started to perform pressure measurements
32nd Will take place you regularly visit your diabetes?
1) Yes
2) No
33rd In view of this disease have you have to change lifestyle?
1) Yes
2) No
34th Is limited by the disease / wa you smoking?
1) Yes
2) No
3) Do not smoke
35th . Is limited by the disease / wa you drink alcohol
1) Yes
2) No
3) Do not consume alcohol
abnkiety fill this takes a few minutes and for me it would be a big help ... If anyone has it I could fill it would be very grateful
Yours sincerely
2nd Gender: *
1) Female
2) Male
2nd What is your weight? *
3rd What is your growth *
4th How much do you years? *
5th 6th Where do you live?
1) In the countryside
2) In the city
6th What is your educational background?
1) Basic
2) Professional
3) Medium
4) Higher
7th What is your activity Profession?
1) I work
2) Do not work
3) I am a pensioner / weaves
4) I am a pensioner / weaves
8th How long is ill you for diabetes?
9th How is taking you medication for diabetes?
1) orally (tablets)
2) performing injection of insulin
10th Are you aware of the complications of type 2 diabetes?
1) Yes
2) No
11th Does the duration of diabetes deteriorated in your sight
1) Yes
2) No
12th Does the duration of diabetes occurred in your kidney?
1) Yes
2) No
13th Does the duration of the disease affects your sensory disturbances, or total abolition, feeling the most pain in the feet and legs, loss of vibration sensation
1) Yes
2) No
14th Does the duration of the disease affects your pressure decreased after the adoption of standing
1) Yes
2) No
15th Or during the course of the disease appeared in your asymptomatic myocardial infarction
1) Yes
2) No
16th Is the course of the disease appeared in your irregular heartbeat such as palpitations:
1) Yes
2) No
17th Or during the course of the disease appeared in your diarrhea or fecal incontinence
1) Yes
2) No
18th Or during the course of the disease appeared in your urine is not keeping with a tendency to frequent infections
1) Yes
2) No
19th Or during the course of the disease appeared in your erectile dysfunction (ED)
1) Yes
2) No
20th Is the result of the disease appeared in your diabetic foot?
1) Yes
2) No
21st Or during the course of the disease occurred in your heart attack?
1) Yes
2) No
22nd Or during the course of the disease occurred in your stroke?
1) Yes
2) No
23rd Or during the course of the disease occurred in your diabetic coma?
1) Yes
2) No
24th If you know exactly what, please indicate which of the following
1) Coma with przecukrzenia
2) Coma with a shortage of sugar
25th How the disease was in your detected?
1) during routine testing at work
2) accidentally during a stay in hospital
3) during routine
26th The disease has been in your early detected?
1) Yes
2) No
27th Do you attended you in the educational training on diabetes and its complications?
1) Yes
2) No
28th How to zachorowaniu tried / wa did you increase your knowledge about the disease?
1) read / shred various brochures, leaflets
2) read / shred the book on this topic
3) I was / shred part in various pogadankach
4) I was looking for / shred of information on the Internet
29th Do you traveled through the education you are more aware / we complications that occur in type 2 diabetes?
1) Yes
2) No
30th Is trying to do you prevent the occurrence of complications? *
1) Yes
2) No
31st Is a result of sickness brought / did you elements of self-control?:
1) running a diary of self-control diabetes
2) Independently performs the measurement of glucose using gleukometru
3)'ve made / am diabetic diet
4) I am more active / physically for
5) I began / started to control the skin, mainly of interest
6) I began / started to perform pressure measurements
32nd Will take place you regularly visit your diabetes?
1) Yes
2) No
33rd In view of this disease have you have to change lifestyle?
1) Yes
2) No
34th Is limited by the disease / wa you smoking?
1) Yes
2) No
3) Do not smoke
35th . Is limited by the disease / wa you drink alcohol
1) Yes
2) No
3) Do not consume alcohol