| Evaluation:
DMB 1 User Guide |
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Thank you for choosing to use a Diabetes Medicine Bag (DMB) to
help teach healthy eating and active living. The User Guide was
designed to serve as a training tool to provide you with ideas
on how to use the various resource tools, and to increase your
comfort levels using the tools to teach diabetes prevention.
Your feedback is valuable to us and will help us refine the User
Guide to maximize its effectiveness. We appreciate you taking
a few minutes to rate the User Guide.
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| Background Information |
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How many children are you in contact with?
Daily
Weekly
Monthly
Boys:
Girls
Age Range
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| Questionnaire |
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1.
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Did you read the User Guide upon receiving the kit?
Yes
No
a) If you answered yes to question #1, how many times have you
referred to the User Guide since then?
0 times
1 - 3 times
4 or more times
b) If you answered no to question #1, why didn’t you read
the User Guide?
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2. |
On a scale of 1 to 5, with 1 being the lowest
rating and 5 being the highest rating, please rate the following:
a) Was the User Guide easy to read and understand?
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b) Did the User Guide provide you with interesting and/or
helpful ideas? |
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c) Did the User Guide increase your confidence in using
the resource tools? |
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3. |
In your opinion, could the User Guide be improved?
Yes
No
If so, how?
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4. |
In your opinion, are there other training options
that would make it easier for you to use the resource tools in
the Diabetes Medicine Bag? (Check any and all that apply):
More detailed User Guide
Telephone conference call
Face to face demonstration
Do you have additional suggestions?
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5. |
General Comments:
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The Diabetes Medicine Bag project administrators respect
your right to privacy. All personal information collected will
not be sold, rented, loaned or otherwise disclosed to any third
party. Please view our Privacy
Policy for more information.
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