Advice for Children & Young People with Type 1 Diabetes Do you have Diabetes? Yes No

Advice for Children & Young People with Type 1 Diabetes

Type of Diabetes Type 1 Type 2 Other

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What is your age?

Are you? Male Female

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Where do you live? Please Select Antrim & Newtownabbey District Council Armagh Banbridge & Craigavon District Council Belfast District Council Causeway Coast & Glens District Council Derry & Strabane District Council Fermanagh & Omagh District Council Lisburn & Castlereagh District Council Mid & East Antrim District Council Mid Ulster District Council Newry Mourne & Down District Council North Down & Ards District Council Outside Northern Ireland

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How long have you had Diabetes? Years

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Are you a parent/carer? Yes No

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Are you a professional? Yes No

Type of profession? Please Select Hospital Doctor General Practicioner Nurse Dietitian Podiatrist Psychologist Social Worker Hospital Pharmacist Community Pharmacist Primary School Teacher Post Primary School Teacher Other

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