Phillip F.
Newbie
- Messages
- 2
- Location
- Berlin, Germany
- Type of diabetes
- Researcher
- Treatment type
- I do not have diabetes
Hey guys, me and my brother are doing a survey for our presentation for the German Abitur presentation. Our topic is Diabetes and we created a survey that would greatly help us with our presentation. You wont have to sign it with your name and can send the fille dout survey as a private message here or to this email address: [email protected]. We appreciate every person who participates. Thank You
Diabetes Survey
As part of a presentation for the German Abitur we have created a survey. We would be very grateful if you could take a few minutes to fill out this questionnaire carefully. In case you don't want to answer one of the questions, please just proceed to the next question. Thank you for your cooperation, it is very much appreciated!
Christian and Phillip Freiberger
Age: ______ Gender: __________ Beruf: _____________
Which type of diabetes are you sick with? [ ] Type I [ ] Type II
Do you have any family members with Diabetes?
[ ] Yes [ ] No
Who in your family is affected?
____________________________________________________________________________
… which type of Diabetes are your affected family members sick with?
_____________________________________________________________________________
Do you pay attention to where you purchase your food (Organic, Fastfood, etc.)?
[ ] Yes [ ] No
Where do you buy your food? _____________________________________________
What are your eating habits in relation to your medical condition; what you can eat and what not?
______________________________________________________________________
______________________________________________________________________
Do you use food sweeteners?
[ ] Yes [ ] No
If so, which kind of sweeteners do you use (chemical or natural)?
Diabetes Survey
As part of a presentation for the German Abitur we have created a survey. We would be very grateful if you could take a few minutes to fill out this questionnaire carefully. In case you don't want to answer one of the questions, please just proceed to the next question. Thank you for your cooperation, it is very much appreciated!
Christian and Phillip Freiberger
Age: ______ Gender: __________ Beruf: _____________
Which type of diabetes are you sick with? [ ] Type I [ ] Type II
Do you have any family members with Diabetes?
[ ] Yes [ ] No
Who in your family is affected?
____________________________________________________________________________
… which type of Diabetes are your affected family members sick with?
_____________________________________________________________________________
Do you pay attention to where you purchase your food (Organic, Fastfood, etc.)?
[ ] Yes [ ] No
Where do you buy your food? _____________________________________________
What are your eating habits in relation to your medical condition; what you can eat and what not?
______________________________________________________________________
______________________________________________________________________
Do you use food sweeteners?
[ ] Yes [ ] No
If so, which kind of sweeteners do you use (chemical or natural)?