Pre-course questionnaire: diabetes prevention
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Question 1 of 8
1. Question
Please confirm which of the following apply to you.
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Question 2 of 8
2. Question
On a scale of 1–5, please answer the statements below:
I am satisfied with my life
1= Strongly disagree 5= Strongly agree
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Question 3 of 8
3. Question
I know enough about my health
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Question 4 of 8
4. Question
What would you like this course to help you achieve? Some of the things people write about are… eating healthier, giving up smoking, taking better control of blood glucose levels, attending scheduled check up appointments or increasing physical activity.
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This response will be reviewed and graded after submission.
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Question 5 of 8
5. Question
How important is it for you to reach the goals you’ve set?
1= Not important 5= Very important
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Question 6 of 8
6. Question
How are you going to reach your goals?
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This response will be reviewed and graded after submission.
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Question 7 of 8
7. Question
What might stop you from reaching your goals and how can you overcome these barriers?
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This response will be reviewed and graded after submission.
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Question 8 of 8
8. Question
How confident do you feel in achieving what you would like to?
1= Not confident 5= Extremely confident
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