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This survey is now closed. Thanks to everyone who participated.

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	Patient Interest in a Diabetes Testing Device Enabled with Bluetooth Technology and Monitored by Disease Management Organizations 1. What is your age group? Under 13 13-18 18-28 28-40 40-60 Over 60 2. What is your gender? Male Female 3. What is your country of residence? 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 3a. If United States, what is your state of residence? State (Click here to choose) Alabama Alaska Alberta American Samoa Arizona Arkansas British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northern Mariana Is Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Trust Territories Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon 4. How long has it been since you were diagnosed with diabetes? Less than 1 year 1-2 years 3-5 years 6-10 years Over 10 years 5. On average, how many times per day do you check your blood glucose levels? 1 or less 2 3 4 5 or more 6. Have you been diagnosed with complications that have resulted from diabetes? Yes No 6a. Is so, what is the complication? Heart Disease and Stroke High Blood Pressure Kidney Disease Visual Complications Nervous System Disease Amputations Dental Disease Complications of Pregnancy Other (specify) 7. Which of the following treatments have you undertaken? Insulin Treatment Insulin Pumps Islet Cell Transplants Alternative Treatments 8. How do you test your blood sugar? Traditional Home Blood Glucose Monitoring (Finger Testing) Glucose Meter That Tests Alternative Sites Other Non-Invasive or Minimally-Invasive Methods 9. Which device do you use? TheraSense® Ascensia® BD Logic® LifeScan® Accu-chek® Prestige IQ® Commander® Guardian® Other (specify) 10. Disease Management Programs help patients with chronic diseases to better manage their conditions by increasing their knowledge about their illnesses and monitoring their conditions for new developments. Are you currently enrolled in a Disease Management Program? Yes No 10a. If so, what is your result data recording method? Journal Recording and Personal Interaction Reporting Internet Recording and Reporting Automated Recording and Transmission (via Telephone Line) Other (specify) 10b. Who is your current Disease Management company? ActiveHealth Management American Healthways Cardium Health CorSolutions Innovative Healthcare Solutions LifeMasters Matria Health McKesson Other (specify) 10c. If not, are you aware of these programs? Yes No 10d. Are you interested in joining these programs? Yes No Maybe 11. We are assessing interest in a testing device that will automatically store test results and report them to disease management centers via wireless technology. We believe that this product along with active participation in a Diabetes Disease Management Program will help prevent complications by monitoring your long-term glucose test results, and in the long term this should lead to decreased insurance and medical claims costs.Would you be interested in this product? Yes No Maybe 11a. If the monitoring process could be automated in this manner, would you be more likely to join a disease management program? Yes No Maybe 12. Please check any considerations that will factor into your decision to potentially purchase this product. I am not knowledgeable of disease management programs I do not trust wireless technology I am happy with the current method I do not feel that my condition is serious enough to warrant considering this product I'm concerned that it will be too expensive I'm concerned that since I travel often the device will not be feasible for me (since it only reports from home) 12a. Of the above factors, what is the main factor? Main factor is: 13. Please check any factors that increase your interest in this product. Ease of use Replacement of manual journal keeping Improved monitoring of your condition Reduced healthcare costs Affordable price Recommendation of my disease management program or doctor 13a. Of the above factors, what is the main factor? Main factor is: 14. Please provide any additional comments here:

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URL: http://www.diabetes123.com/survey/devicebluetoothdm.htm
Last Updated: Sun Feb 19 15:08:17 2006
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