Barbara Davis Center Research Studies 

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1. What is your age?


Age (Years)


2. Do you (or your child) have diabetes? (choose the best answer)

Yes, I have (my child has) type 1 diabetes
Yes, I have (my child has) type 2 diabetes
No, but I have a close relative with diabetes
No, and I have no close relatives with diabetes


3. If yes, when were you diagnosed with diabetes (month and year only)?

/
Month / Year


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