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This survey is now closed. Thanks to everyone who shared their experience.

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We are conducting this important survey to gain insight into emotional stress that parents of children with diabetes grapple with during the winter holiday season.

Before starting the survey, we’d like to gather some basic information so that we can be sure to ask you appropriate questions. Your answers will help us properly analyze responses to this survey. As you may already know, we never disclose the identity of any individual. Your answers will always be kept strictly confidential.

1. What is your gender?

Male
Female

2. In what country do you currently live?

Country

(Click here to choose) Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit Ind Ocean Territory Brunei Darussalm Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Rep. Chad Chile China Christmas Islands Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Dem Rep. of Korea Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France France Metropolitan French Guiana French Polynesia French So. Territories F.Y.R. Macedonia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadaloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Heard McDonald Island Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (South Korea) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Mariana Islands Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherland Antilles Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Island Norfolk Island Northern Mariana Island Norway Oman Pacific Islands Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Korea Reunion Romania Russian Federation Rwanda S Georgia & Sandwich Saint Pierre & Miquelon Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierre Leone Singapore Slovakia Slovenia Solomon Islands Somali Republic South Africa South Korea Spain Sri Lanka St. Helena St. Kitts-Nevis St. Lucia St. Vincent/Grenadines Sudan Suriname Svalbard & Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Tuvalu United States Uganda Ukraine United Arab Emirates United Kingdom Uruguay US Minor Outlying Is. Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands: British Virgin Islands: US Wallis & Futuna Islands Western Sahara Western Samoa Yemen Yugoslavia Zaire Zambia Zimbabwe

3. Do you have a child with diabetes?

Yes
No

4. Does your child have type 1 or type 2 diabetes?

Type 1
Type 2
I'm not sure

5. In what year was your child diagnosed? (please enter a 4-digit number, e.g., 1998)

Year:

6. During which season do you and your child have the most difficult time following a diabetes treatment routine?

Spring (March - May)
Summer (June - August)
Fall (September - November)
Winter (December - February)
We do not have a difficult time following a diabetes regimen
The level of difficulty in following my child's diabetes regimen does not vary by season

7. During which holidays/specific time periods do you and your child have the most difficult time following a diabetes treatment routine? (Place a 1 next to the most relevant, a 2 by the next and a 3 by your final choice.)

Back to School
Rosh Hashanah and Yom Kippur
Ramadan
Halloween
Thanksgiving
Chanukkah
Christmas
New Year's
Valentine's Day
Easter
Passover
Fourth of July
Other

8. When thinking about caring for your child with diabetes, how would you rate your stress level during these periods?

Very stressed
Stressed
Somewhat stressed
Not at all stressed

9. If you feel increased stress, what factors contribute to your higher stress levels? (please limit your response to 50 words or less)

10. How challenging is it to stick to a regular "diabetes routine" during these periods?

Very challenging
Challenging
Somewhat challenging
Not at all challenging

11. What are the top three challenges you face regarding your child's diabetes management routine? (Place a 1 next to the most relevant, a 2 by the next and a 3 by your final choice.)

Needing to use insulin
Regularly checking glucose levels
Sticking to a healthy diet
Remembering to give your child his/her medication at the right time
Other
My routine doesn't change

12. If you selected 'other,' please explain (in 50 words or less)

13. When it comes to measuring your child's glucose level, how often do you measure during holiday periods?

More often than usual
Same as usual
Less often than usual

14. What factors impact your ability to check your child's glucose levels on a routine basis during holiday periods? (Select all that apply.)

Disrupted daily routine (e.g., travel, out of school)
Indulging in holiday foods
Increased time away from home (e.g., sleepovers, play dates)
Hectic holiday schedules
Other

15. Does your child experience more periods of uncontrolled blood glucose (hypoglycemia, hyperglycemia) during holiday periods?

Yes
No

16. What tools would help decrease your stress and better manage your child's diabetes routine during holiday periods and beyond? (Place a 1 next to the most relevant, a 2 by the next and a 3 by your final choice.)

Support from family and friends
Web-based tools (e.g., educational articles, podcasts on specific topics geared to children and diabetes, ask-the-expert columns)
Support from health care professionals (e.g., certified diabetes educator, nutritionist, family doctor)
Diabetes education/caregiver classes or groups
Self-motivation
Other

17. If you selected 'other,' please explain (in 50 words or less)

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Last Updated: Tuesday October 23, 2007 12:07:02
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