Diabetes In Our Lifes
Home
Statistics
Survey
Food Reviews
A Healthy Lifestyle
Contact
Please take these surveys to help us collect data about diabetes.
Do you know anyone with diabetes?
*
Family Member
Friend
Colleague
I don't know
Other
If Other or multiple, specify:
*
What is your age?
*
Less than 13
13-18
19-25
26-35
36-50
Over 50
Prefer not to say
Do you have diabetes?
*
Yes
No
I don't know
Prefer not to say
Submit
How healthy do you eat?
*
Exremely
Quite
Average
Not Really
No Way
Do You Eat Often?
*
Just the three meals
less than three times per day
more than three times per day
way too much
not enough
all of the food
Prefer not to say
Do you have any dietary restrictions?
*
Vegan
Vegetarian
Lactose Intolerant
Food Allergies
No
Submit
Home
Statistics
Survey
Food Reviews
A Healthy Lifestyle
Contact