Beta Tester Questionnaire for Glucoguide
Help us determine your eligibility to participate in beta testing for our new diabetes management app. Please answer the following questions about your experience and current diabetes management tools.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Do you give us permission to be contacted?
*
Yes
No
Do you have Type 1 diabetes?
*
Yes
No
What year were you diagnosed with Type 1 diabetes?
*
What type of insulin therapy do you currently use?
*
Multiple daily injections (MDI)
Insulin pump
Other
Which continuous glucose monitoring (CGM) sensor brands do you currently use? (Select all that apply)
*
Dexcom
Freestyle Libre
Medtronic Guardian
Eversense
Other
Which apps do you currently use to manage your diabetes? (Select all that apply)
*
MyFitnessPal
Nutricheck
Health app
Weather App
Garmin
Apple Watch
Training Tracker app (any)
Menstrual tracker
Other
What is your typical time in range percentage?
*
Please Select
Less than 50%
50-60%
61-70%
71-80%
81-90%
More than 90%
Select the range that best describes your typical blood glucose time in range percentage
What kind of exercise do you like to do?
What difficulties do you have with exercise?
Is there anything else you'd like us to know about your diabetes management or experience with apps?
Submit Application
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