Help us to help you more.....

Dear patient.
 
You have been invited to complete this short survey following receipt of our letter introducing to you our Diabetes XPert Programme.  We feel this is an excellent programme to help those patients with diabetes to understand more on how they can enhance their management of the condition.

This survey will help us to understand your particular interest in the programme and will also enable us where possible to facilitate a programme which is more in line with your specific needs.

All of the information you provide is regarded as confidential.  We do invite you to identify yourselves at question 10 although this is totally optional and not a requirement for you to complete the survey.

We value your time in its completion - thank you.
 
On behalf of Dr. Hughes and Partners

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* 1. Does the XPert Diabetes programme interest you as a diabetes patient?

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* 2. If not, then could we ask why the course fails to interest?

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* 3. If so, which aspects of the programme interest you most?

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* 4. This programme runs on an evening over a six week period [six evenings in total].  Is an evening session as scheduled within your letter convenient?

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* 5. If the programme was run during the day, would you find this more convenient?

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* 6. The programme is tried and tested and successful in helping people manage diabetes.  It is set in its format however we would value learning what aspects of diabetes management you would specifically like to learn about – in the event that the facilitator can assist on those key areas of yours.  What aspects of diabetes management which are not listed in the programme, would interest you?

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* 7. How do you feel you are currently managing each aspect of

  Very Poorly
Poorly

OK

Well

Very well
Diabetes Control

Reduced Diabetes Management

Increase Self-Management Skills

Improved lifestyle and quality of life

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* 8. How do you feel you are currently being supported by the Medical Centre in your management of diabetes?

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* 9. To assist you further, is there any support that you would like to have available to you on the evenings - for example local wellbeing and community resource teams?

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* 10. Finally and for identification purposes - could you please provide you date of birth [Optional]

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