Insulin Initation Patient Survey

Hello:
You are invited to participate in our survey regarding your experience with starting insulin.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will help us to continue to improve our program.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

How satisfied are you with the following:

Overall Experience with starting insulin

Primary Care Nurse and Physician support

Education you received

How satisfied are you with the primary care nurse being involved in the management and education you received?

Do you feel like your health has improved since starting insulin?

Love It

Hate it

Please tell how we could improve the services provided to you.