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01
What is your age?
A
18–44 years old
B
45–64 years old
C
65 years or older
D
Prefer not to say
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02
What type of diabetes do you have?
A
Type 1 Diabetes
B
Type 2 Diabetes
C
Prediabetes
D
Unsure / Undiagnosed
03
What is your health insurance status?
A
No insurance
B
Insured, but costs are very high
C
Medicare / Medicaid
D
Private insurance (good coverage)
04
Would you be willing to participate in medical research or clinical trials?
A
Yes (as long as it's free)
B
Yes (preferably with compensation)
C
No
D
Unsure
05
What is your primary difficulty at the moment?
A
Medications are too expensive
B
High cost of doctor visits
C
Poor blood sugar control
D
Worrying about complications
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